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General NPI Number Information
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NPI Number | 1083471445
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Entity Type | Organization
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Legal Business Name | PRECISION HEALTH CONSULTING & CLINIC
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Dates
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Enumeration Date | 03/04/2024
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 760 S WASHBURN AVE STE 22
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City | CORONA
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State | CA
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Zip | 92882-3303
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Country | US
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Telephone | 951-339-8000
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Fax | 951-339-8001
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Provider Business Mailing Address
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Address Line | 11762 DE PALMA RD STE 1C #507
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City | CORONA
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State | CA
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Zip | 92883-8494
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Country | US
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Telephone | 951-638-1315
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Fax |
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Authorized Official
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Title or Position | CEO/CMO
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Name | DR. OLUYEMISI ADERONKE OLUBI
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Credential | MD MPH
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Telephone | 951-638-1315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083X0100X
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Taxonomy Name | Occupational Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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