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General NPI Number Information
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NPI Number | 1578822680
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Entity Type | Individual
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Provider Name | SYLVIA PATRICIA VALENZUELA PMHNP, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/09/2012
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 5055 E BROADWAY BLVD STE A200
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City | TUCSON
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State | AZ
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Zip | 85711-3649
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Country | US
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Telephone | 520-721-1887
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Fax | 520-721-0069
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Provider Business Mailing Address
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Address Line | PO BOX 86537
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City | TUCSON
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State | AZ
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Zip | 85754-6537
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Country | US
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Telephone | 520-721-1887
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Fax | 520-372-7126
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP4470
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP4470
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License Number State | AZ
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