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General NPI Number Information
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NPI Number | 1306607239
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Entity Type | Organization
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Legal Business Name | HEALTHON INC.
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Dates
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Enumeration Date | 01/18/2024
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Last Update Date | 01/18/2024
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Provider Practice Location Address
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Address Line | 22 ODESSEY, SUITE 240
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City | IRVINE
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State | CA
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Zip | 92618
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Country | US
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Telephone | 949-668-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 100 SPECTRUM CENTER DR STE 900
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City | IRVINE
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State | CA
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Zip | 92618-4974
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Country | US
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Telephone | 949-668-7000
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RASOUL M MONTAZERI
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Credential | DO
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Telephone | 949-291-7563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 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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