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General NPI Number Information
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NPI Number | 1255203048
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Entity Type | Organization
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Legal Business Name | VALCOR ABA LLC
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Dates
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Enumeration Date | 09/22/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 6409 ABERCORN ST STE A1
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City | SAVANNAH
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State | GA
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Zip | 31405-5715
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Country | US
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Telephone | 912-299-2221
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Fax | 912-428-9797
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Provider Business Mailing Address
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Address Line | 1305 BARNARD ST STE 851
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City | SAVANNAH
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State | GA
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Zip | 31401-6746
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Country | US
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Telephone | 912-299-2221
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Fax | 912-428-9797
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Authorized Official
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Title or Position | OWNER
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Name | SAM GEWIRTZMAN
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Credential |
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Telephone | 845-596-8297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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