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General NPI Number Information
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NPI Number | 1598623548
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Entity Type | Organization
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Legal Business Name | BUTTERFLY WELLNESS LLC
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 535 E RIVER ST STE 106
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City | CAVE JUNCTION
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State | OR
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Zip | 97523-9336
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Country | US
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Telephone | 458-592-1622
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Fax | 855-535-0207
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Provider Business Mailing Address
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Address Line | 139 S JUNCTION AVE
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City | CAVE JUNCTION
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State | OR
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Zip | 97523-9006
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Country | US
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Telephone | 458-592-1622
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Fax | 855-535-0207
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | CAROL JANETTE VALLEJO
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Credential | MSW, LCSW
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Telephone | 435-229-7805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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