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General NPI Number Information
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NPI Number | 1962663997
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Entity Type | Organization
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Legal Business Name | VALARIE OVERTON, M.D., PLLC
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Dates
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Enumeration Date | 06/23/2008
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Last Update Date | 06/23/2008
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Provider Practice Location Address
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Address Line | 688 WHITE PLAINS RD SUITE 224
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City | SCARSDALE
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State | NY
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Zip | 10583-5059
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Country | US
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Telephone | 914-725-5556
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Fax | 914-725-5597
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Provider Business Mailing Address
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Address Line | 688 WHITE PLAINS RD SUITE 224
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City | SCARSDALE
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State | NY
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Zip | 10583-5059
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Country | US
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Telephone | 914-725-5556
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Fax | 914-725-5597
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Authorized Official
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Title or Position | OWNER
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Name | VALARIE OVERTON
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Credential | MD
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Telephone | 914-725-5556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 162489
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License Number State | NY
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