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General NPI Number Information
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NPI Number | 1043839699
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Entity Type | Organization
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Legal Business Name | J M ASPREC MD
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Dates
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Enumeration Date | 04/14/2020
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Last Update Date | 01/06/2023
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Provider Practice Location Address
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Address Line | 31571 CANYON ESTATES DR STE 132
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City | LAKE ELSINORE
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State | CA
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Zip | 92532-0471
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Country | US
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Telephone | 951-674-7811
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Fax | 951-674-7812
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Provider Business Mailing Address
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Address Line | 31571 CANYON ESTATES DR STE 132
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City | LAKE ELSINORE
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State | CA
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Zip | 92532-0471
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Country | US
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Telephone | 951-461-9573
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Fax | 951-304-3653
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOSEPH M ASPREC
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Credential | M.D
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Telephone | 951-461-9573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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