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General NPI Number Information
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NPI Number | 1669715199
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Entity Type | Organization
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Legal Business Name | VALLEY VETERINARY ASSOCIATES
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 647 STATE HIGHWAY 7
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City | SIDNEY
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State | NY
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Zip | 13838
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Country | US
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Telephone | 607-563-1345
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Fax | 607-563-3466
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Provider Business Mailing Address
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Address Line | PO BOX 836
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City | SIDNEY
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State | NY
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Zip | 13838
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Country | US
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Telephone | 607-563-1345
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Fax | 607-563-3466
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | LISA KASCHAK
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Credential | LVT
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Telephone | 607-563-1345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174M00000X
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Taxonomy Name | Veterinarian
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License Number | 011858
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License Number State | NY
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