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NPI 1730992348

NPI 1730992348 : VALERIE SAGAOINIT DE MATEO RN, MSN, AGACNP-BC : DURHAM, NC

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General NPI Number Information
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    NPI Number           |    1730992348
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    Entity Type          |    Individual 
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    Provider Name        |    VALERIE SAGAOINIT DE MATEO RN, MSN, AGACNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/28/2025
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    Last Update Date     |    07/23/2025
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Provider Practice Location Address
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    Address Line         |    30 DUKE MEDICINE CIR # 1A 
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27710-4220
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    Country              |    US
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    Telephone            |    919-681-4298
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    417 W PEACE ST APT 511 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27603-5029
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    Country              |    US
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    Telephone            |    410-829-8355
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    5022072
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    95033745
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    License Number State |    CA
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