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General NPI Number Information
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NPI Number | 1720189400
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Entity Type | Organization
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Legal Business Name | C VALLIE CFNP LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 3423 CALDERA BLVD
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City | MIDLAND
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State | TX
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Zip | 79707-2825
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Country | US
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Telephone | 432-699-6271
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Fax | 432-699-6296
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Provider Business Mailing Address
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Address Line | 3423 CALDERA BOULEVARD
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City | MIDLAND
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State | TX
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Zip | 79705
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Country | US
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Telephone | 432-699-6271
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Fax | 432-699-6296
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | CHERYL J VALLIE
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Credential | CFNP
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Telephone | 432-699-6271
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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 | 242554
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License Number State | TX
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