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General NPI Number Information
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NPI Number | 1972476604
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Entity Type | Organization
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Legal Business Name | VALLEY WELLNESS CENTER CO.
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 1691 7TH ST
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City | COACHELLA
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State | CA
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Zip | 92236-1726
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Country | US
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Telephone | 442-256-3336
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Fax |
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Provider Business Mailing Address
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Address Line | 84334 CANZONE DR
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City | INDIO
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State | CA
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Zip | 92203-2903
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Country | US
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Telephone | 442-256-3336
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SARIENA RAY CALLIN
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Credential |
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Telephone | 661-293-9015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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