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General NPI Number Information
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NPI Number | 1992228571
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Entity Type | Individual
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Provider Name | VALERIE CONRAD FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/25/2017
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 912 W 21ST ST
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City | CLOVIS
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State | NM
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Zip | 88101-4149
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Country | US
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Telephone | 575-904-7577
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Fax | 806-652-2417
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Provider Business Mailing Address
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Address Line | 912 W 21ST ST STE 100
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City | CLOVIS
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State | NM
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Zip | 88101-4149
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Country | US
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Telephone | 575-904-7577
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Fax | 505-369-3406
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP134627
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License Number State | TX
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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 | CNP-59819
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | AP61046887
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License Number State | WA
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