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NPI 1972054757

NPI 1972054757 : ONE2ONE VALENTINE LLC : VALENTINE, NE

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General NPI Number Information
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    NPI Number           |    1972054757
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    Entity Type          |    Organization 
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    Legal Business Name  |    ONE2ONE VALENTINE LLC 
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Dates
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    Enumeration Date     |    10/17/2016
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    Last Update Date     |    06/05/2023
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Provider Practice Location Address
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    Address Line         |    110 N MAIN ST 
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    City                 |    VALENTINE
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    State                |    NE
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    Zip                  |    69201-1817
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    Country              |    US
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    Telephone            |    402-376-5959
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    Fax                  |    402-376-1833
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Provider Business Mailing Address
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    Address Line         |    PO BOX 446 
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    City                 |    VALENTINE
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    State                |    NE
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    Zip                  |    69201-0446
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    Country              |    US
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    Telephone            |    402-375-5959
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    Fax                  |    402-376-1833
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. CHELSEY  DELANEY 
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    Credential           |    
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    Telephone            |    402-376-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    333600000X
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    Taxonomy Name        |    Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    3336C0004X
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    Taxonomy Name        |    Compounding Pharmacy
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    3336C0003X
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    Taxonomy Name        |    Community/Retail Pharmacy
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    License Number       |    681
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    License Number State |    NE
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