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General NPI Number Information
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NPI Number | 1780447581
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Entity Type | Organization
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Legal Business Name | SMALL VALLEY HEALTHCARE PARTNERS
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Dates
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Enumeration Date | 02/05/2024
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 4743 N 1ST AVE
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City | TUCSON
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State | AZ
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Zip | 85718-5610
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Country | US
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Telephone | 520-878-8233
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Fax | 520-540-2266
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Provider Business Mailing Address
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Address Line | 4743 N 1ST AVE
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City | TUCSON
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State | AZ
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Zip | 85718-5610
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Country | US
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Telephone | 520-878-8233
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Fax | 520-540-2266
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | JUVEL-LOU P VELASCO
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Credential | APRN-ANP
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Telephone | 443-791-7069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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