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General NPI Number Information
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NPI Number | 1730275348
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Entity Type | Individual
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Provider Name | VALERIE JEANNE HOLCOMB APRN
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Gender | Female
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 915 RIVER RD # C-25
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3921
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Country | US
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Telephone | 860-704-4302
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Fax | 860-704-4301
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Provider Business Mailing Address
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Address Line | 915 RIVER RD # C-25
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City | MIDDLETOWN
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State | CT
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Zip | 06457-3921
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Country | US
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Telephone | 860-704-4302
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Fax | 860-704-4301
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 000292
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License Number State | CT
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