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General NPI Number Information
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NPI Number | 1093576068
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Entity Type | Organization
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Legal Business Name | DESERT MORNING GLORY, INC
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 01/17/2024
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Provider Practice Location Address
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Address Line | 3000 W MACARTHUR BLVD STE 600
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City | SANTA ANA
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State | CA
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Zip | 92704-6982
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Country | US
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Telephone | 949-216-3244
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Fax | 714-564-8306
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Provider Business Mailing Address
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Address Line | 3000 W MACARTHUR BLVD STE 600
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City | SANTA ANA
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State | CA
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Zip | 92704-6982
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Country | US
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Telephone | 949-216-3244
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Fax | 714-564-8306
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Authorized Official
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Title or Position | MANAGER
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Name | GLORIA ORTEGA
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Credential |
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Telephone | 949-216-3244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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