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General NPI Number Information
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NPI Number | 1962022574
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Entity Type | Organization
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Legal Business Name | NURSE PRACTITIONERS OF THE VALLEY, LLC
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 02/19/2021
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Provider Practice Location Address
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Address Line | 3910 ADLER PL STE 135
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City | BETHLEHEM
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State | PA
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Zip | 18017-9299
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Country | US
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Telephone | 201-218-1447
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 129
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City | CENTER VALLEY
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State | PA
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Zip | 18034-0129
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. DENIS TIGHE JR.
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Credential | RN
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Telephone | 201-218-1447
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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