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General NPI Number Information
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NPI Number | 1346102829
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Entity Type | Organization
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Legal Business Name | SASANK NAKKA M D INC
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 28400 MCCALL BLVD
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City | MENIFEE
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State | CA
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Zip | 92585-9658
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Country | US
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Telephone | 951-282-1328
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Fax |
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Provider Business Mailing Address
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Address Line | 40099 ANNAPOLIS DR
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City | TEMECULA
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State | CA
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Zip | 92591-2526
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SASANK NAKKA
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Credential | MD
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Telephone | 951-282-1328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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