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General NPI Number Information
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NPI Number | 1386497212
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Entity Type | Organization
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Legal Business Name | VALOR HEALTH & WELLNESS
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 24624 N RIVER RD
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-1911
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Country | US
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Telephone | 810-328-3950
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Fax | 586-261-5346
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Provider Business Mailing Address
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Address Line | 24624 N RIVER RD
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City | MOUNT CLEMENS
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State | MI
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Zip | 48043-1911
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Country | US
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Telephone | 810-328-3950
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Fax | 586-261-5346
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JOHN SANTA ANA
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Credential | DO
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Telephone | 202-374-6555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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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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