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General NPI Number Information
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NPI Number | 1811222581
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Entity Type | Individual
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Provider Name | VALERIE LYNN SCHLECK NP
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Gender | Female
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Dates
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Enumeration Date | 10/13/2009
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Last Update Date | 10/13/2009
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Provider Practice Location Address
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Address Line | 6701 BERGENLINE AVE
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1704
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Country | US
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Telephone | 201-758-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 9 CHERRY LN
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City | CALDWELL
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State | NJ
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Zip | 07006-5704
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Country | US
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Telephone | 973-364-0709
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 26NN04830300
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License Number State | NJ
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