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General NPI Number Information
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NPI Number | 1366837825
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Entity Type | Organization
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Legal Business Name | HDMC HOLDINGS, LLC
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Dates
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Enumeration Date | 04/01/2015
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Last Update Date | 03/23/2022
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Provider Practice Location Address
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Address Line | 57407 29 PALMS HWY SUITE B
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-2907
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Country | US
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Telephone | 760-366-7542
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Fax |
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Provider Business Mailing Address
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Address Line | 6601 WHITE FEATHER RD
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City | JOSHUA TREE
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State | CA
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Zip | 92252-6607
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Country | US
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Telephone | 760-366-7542
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MIKE KING
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Credential |
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Telephone | 209-985-3317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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