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General NPI Number Information
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NPI Number | 1215823703
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Entity Type | Organization
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Legal Business Name | VALCORE RECOVER, LLC
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 600 E MAIN ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-5827
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Country | US
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Telephone | 812-252-9020
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Fax |
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Provider Business Mailing Address
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Address Line | 600 E MAIN ST
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City | NEW ALBANY
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State | IN
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Zip | 47150-5827
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Country | US
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Telephone | 812-252-9020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM E COOKE
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Credential | MD
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Telephone | 812-252-9020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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