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General NPI Number Information
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NPI Number | 1134914179
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Entity Type | Organization
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Legal Business Name | OPUS MEDICAL
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 1611 POMONA RD STE 231
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City | CORONA
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State | CA
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Zip | 92878-4324
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Country | US
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Telephone | 888-959-8652
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 POMONA RD STE 231
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City | CORONA
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State | CA
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Zip | 92878-4324
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Country | US
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Telephone | 888-959-8652
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Fax |
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Authorized Official
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Title or Position | ASST ADMINISTRATOR
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Name | ARNEL TEJONES
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Credential | RN
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Telephone | 626-233-2148
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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