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General NPI Number Information
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NPI Number | 1215877220
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Entity Type | Organization
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Legal Business Name | HEALTH CENTER MSO LLC
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Dates
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Enumeration Date | 03/30/2026
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Last Update Date | 03/30/2026
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Provider Practice Location Address
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Address Line | 36101 BOB HOPE DR STE E2
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2006
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Country | US
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Telephone | 833-649-4628
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Fax | 833-649-4628
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Provider Business Mailing Address
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Address Line | 36101 BOB HOPE DR STE E2
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2006
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Country | US
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Telephone | 833-649-4628
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Fax | 833-649-4628
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RICHARD VEZINA
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Credential | DR
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Telephone | 833-649-4628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 3245S0500X
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Taxonomy Name | Children's Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #6
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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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