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General NPI Number Information
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NPI Number | 1174119366
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HEALTHCARE SERVICES - MISSION INC
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Dates
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Enumeration Date | 12/12/2020
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 5475 E LA PALMA AVE STE 200
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City | ANAHEIM
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State | CA
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Zip | 92807-2075
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Country | US
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Telephone | 949-418-8495
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Fax |
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Provider Business Mailing Address
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Address Line | 17011 BEACH BLVD STE 200
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-7421
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Country | US
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Telephone | 714-706-9030
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL ZEGLINSKI
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Credential |
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Telephone | 714-706-9030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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