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General NPI Number Information
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NPI Number | 1902587470
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Entity Type | Individual
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Provider Name | VALENCIA MARIE ROLLINS
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Gender | Female
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 328 S CENTRAL AVE STE 110
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City | MEDFORD
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State | OR
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Zip | 97501-7274
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Country | US
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Telephone | 541-200-5804
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Fax |
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Provider Business Mailing Address
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Address Line | 2525 ASHLAND ST UNIT 378
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City | ASHLAND
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State | OR
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Zip | 97520-1411
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Country | US
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Telephone | 541-200-5323
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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