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General NPI Number Information
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NPI Number | 1316833387
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Entity Type | Organization
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Legal Business Name | FMK HEALTH INC
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 72960 FRED WARING DR STE 101
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City | PALM DESERT
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State | CA
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Zip | 92260-2897
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Country | US
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Telephone | 760-641-4085
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Fax | 877-285-0477
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Provider Business Mailing Address
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Address Line | 72960 FRED WARING DR STE 101
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City | PALM DESERT
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State | CA
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Zip | 92260-2897
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Country | US
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Telephone | 760-641-4085
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Fax | 877-285-0477
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | JANICE COMPTON
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Credential |
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Telephone | 830-832-9703
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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