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General NPI Number Information
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NPI Number | 1710758883
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Entity Type | Organization
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Legal Business Name | VALORWELL LLC
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 934 SW 163RD ST
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City | LEES SUMMIT
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State | MO
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Zip | 64082-4579
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Country | US
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Telephone | 307-414-1355
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Fax |
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Provider Business Mailing Address
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Address Line | 934 SW 163RD ST
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City | LEES SUMMIT
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State | MO
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Zip | 64082-4579
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LUCAS PREDMORE
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Credential |
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Telephone | 317-404-1355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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