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General NPI Number Information
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NPI Number | 1407723810
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Entity Type | Organization
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Legal Business Name | WELLNESS ON CALL PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 10/21/2025
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 8274 GLEN ECHO DR
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City | SAINT LOUIS
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State | MO
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Zip | 63121-4552
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Country | US
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Telephone | 314-252-0245
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Fax | 314-463-4029
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Provider Business Mailing Address
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Address Line | 8274 GLEN ECHO DR
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City | SAINT LOUIS
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State | MO
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Zip | 63121-4552
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Country | US
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Telephone | 314-252-0245
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Fax | 314-463-4029
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Authorized Official
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Title or Position | OWNER
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Name | LORI A CALLOWAY
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Credential | NP
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Telephone | 314-252-0245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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