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General NPI Number Information
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NPI Number | 1912062076
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Entity Type | Organization
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Legal Business Name | VALLEY GERIATRIC & FAMILY SERVICES, LLC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 10/30/2012
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Provider Practice Location Address
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Address Line | 8719 E COLUMBUS AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5052
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Country | US
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Telephone | 480-990-1099
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Fax | 480-990-1099
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Provider Business Mailing Address
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Address Line | 8719 E COLUMBUS AVE
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-5052
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Country | US
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Telephone | 480-990-1099
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Fax | 480-990-1099
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. CLAIRE G VALLI
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Credential | LCSW
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Telephone | 480-990-1099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 11792
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License Number State | AZ
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