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General NPI Number Information
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NPI Number | 1740933258
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Entity Type | Individual
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Provider Name | VALERIE JOY SIKES
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Gender | Female
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 02/03/2022
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Provider Practice Location Address
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Address Line | 628 N MERIDIAN RD
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City | GREENFIELD
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State | IN
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Zip | 46140-2735
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Country | US
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Telephone | 317-468-9559
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Fax |
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Provider Business Mailing Address
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Address Line | 2113 N C ST
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City | RICHMOND
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State | IN
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Zip | 47374-3469
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Country | US
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Telephone | 765-969-0546
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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 | 364SL0600X
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Taxonomy Name | Long-Term Care Clinical Nurse Specialist
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License Number | 28223642A
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License Number State | IN
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