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NPI 1215688254

NPI 1215688254 : ADVANTAGE HEALTH CARE SERVICES - MISSION INC : NEWPORT BEACH, CA

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General NPI Number Information
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    NPI Number           |    1215688254
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    Entity Type          |    Organization 
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    Legal Business Name  |    ADVANTAGE HEALTH CARE SERVICES - MISSION INC 
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Dates
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    Enumeration Date     |    01/11/2022
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    Last Update Date     |    02/25/2025
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Provider Practice Location Address
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    Address Line         |    4631 TELLER AVE STE 110 
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    City                 |    NEWPORT BEACH
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    State                |    CA
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    Zip                  |    92660-8105
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    Country              |    US
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    Telephone            |    949-418-8495
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    Fax                  |    949-418-8563
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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        |    3336L0003X
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    Taxonomy Name        |    Long Term Care Pharmacy
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    License Number       |    
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    License Number State |    
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