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General NPI Number Information
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NPI Number | 1871073528
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Entity Type | Individual
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Provider Name | VALERIE JOANN ROUNDS FNP
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Gender | Female
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Dates
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Enumeration Date | 08/21/2018
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 8512 N WAYNE DR
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City | HAYDEN
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State | ID
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Zip | 83835-5218
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Country | US
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Telephone | 208-361-2146
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Fax | 208-415-4805
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Provider Business Mailing Address
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Address Line | 8512 N WAYNE DR STE B
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City | HAYDEN
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State | ID
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Zip | 83835-5218
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Country | US
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Telephone | 208-213-2433
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Fax | 208-415-4805
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 47121
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License Number State | ID
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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 | ID59455
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License Number State | ID
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