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General NPI Number Information
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NPI Number | 1164237426
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Entity Type | Organization
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Legal Business Name | VALOR WELLNESS AND SALUD MENTAL SERVICES LLC
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 2105 SANDSTONE CT STE A
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City | MANSFIELD
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State | TX
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Zip | 76063-5083
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Country | US
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Telephone | 817-264-7026
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Fax | 817-259-2696
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Provider Business Mailing Address
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Address Line | 2105 SANDSTONE CT STE A
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City | MANSFIELD
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State | TX
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Zip | 76063-5083
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Country | US
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Telephone | 347-531-8104
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | VICTOR H. ESTUPINAN
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Credential | APRN
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Telephone | 347-531-8104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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