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General NPI Number Information
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NPI Number | 1730974635
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Entity Type | Individual
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Provider Name | ANA MADERA-VALDEZ PMHNP-BC, MSN, OCN
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Gender | Female
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 800 COUNTRY CLUB RD
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City | WATERBURY
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State | CT
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Zip | 06708-3240
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Country | US
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Telephone | 347-822-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 8 THE GRN
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City | DOVER
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State | DE
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Zip | 19901-3618
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Country | US
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Telephone | 347-822-0355
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 26NJ15315800
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License Number State | NJ
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