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General NPI Number Information
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NPI Number | 1073326641
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Entity Type | Organization
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Legal Business Name | GHASB MEDICAL CORPORATION
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 25395 HANCOCK AVE STE 240
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City | MURRIETA
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State | CA
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Zip | 92562-9054
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Country | US
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Telephone | 951-309-8777
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Fax | 949-864-3130
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Provider Business Mailing Address
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Address Line | 35684 CAPISTRANO ST
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City | WILDOMAR
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State | CA
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Zip | 92595-6944
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Country | US
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Telephone | 951-239-6077
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING DIRECTOR
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Name | DR. ELIE GHASB
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Credential | MD
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Telephone | 951-239-6077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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