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General NPI Number Information
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NPI Number | 1245197136
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Entity Type | Organization
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Legal Business Name | VALOR WELLNESS MISSOURI LLC
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Dates
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Enumeration Date | 01/05/2026
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 85 S HENRY ST
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City | FARMINGTON
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State | MO
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Zip | 63640-1807
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Country | US
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Telephone | 573-755-8018
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Fax |
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Provider Business Mailing Address
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Address Line | 1124 BAY BLVD STE B
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City | CHULA VISTA
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State | CA
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Zip | 91911-7155
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Country | US
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Telephone | 312-953-1922
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | ISMAEL RUBIO
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Credential |
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Telephone | 312-953-1922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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