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General NPI Number Information
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NPI Number | 1629957691
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Entity Type | Organization
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Legal Business Name | VALENTINE PSYCHIATRY PC
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 276 5TH AVE STE 704-2708
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City | NEW YORK
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State | NY
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Zip | 10001-4509
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Country | US
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Telephone | 555-555-5555
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Fax |
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Provider Business Mailing Address
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Address Line | 276 5TH AVE STE 704-2708
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City | NEW YORK
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State | NY
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Zip | 10001-4509
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JESSEE VALENTINE
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Credential | DO
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Telephone | 555-555-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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