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General NPI Number Information
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NPI Number | 1790035863
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Entity Type | Individual
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Provider Name | DONNA CHERYLL VALADEZ FNP
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Gender | Female
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 723 N TENNESSEE AVE
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City | ETOWAH
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State | TN
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Zip | 37331-1754
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Country | US
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Telephone | 423-263-2100
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Fax | 423-781-7662
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Provider Business Mailing Address
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Address Line | PO BOX 808
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City | KINGSTON
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State | TN
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Zip | 37763-0808
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Country | US
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Telephone | 865-224-7172
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Fax | 865-224-7171
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APN0000016894
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License Number State | TN
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