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General NPI Number Information
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NPI Number | 1609762913
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Entity Type | Individual
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Provider Name | VALERIE ELLS RN
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 206 1ST AVE
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City | JULIAETTA
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State | ID
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Zip | 83535-9736
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Country | US
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Telephone | 208-305-6506
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Fax | 339-416-9748
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Provider Business Mailing Address
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Address Line | 4009 W 49TH ST STE 201
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City | SIOUX FALLS
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State | SD
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Zip | 57106-5221
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Country | US
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Telephone | 925-677-4795
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Fax | 833-941-6974
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 60955
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License Number State | ID
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