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General NPI Number Information
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NPI Number | 1447068721
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Entity Type | Organization
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Legal Business Name | HOPE HEADACHE CLINIC CORP
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Dates
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Enumeration Date | 12/19/2024
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 1023 STEELE DR
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City | BREA
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State | CA
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Zip | 92821-2232
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Country | US
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Telephone | 562-213-3046
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 STEELE DR
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City | BREA
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State | CA
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Zip | 92821-2232
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Country | US
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Telephone | 562-213-3046
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIA NANNETTE RODRIGUEZ
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Credential | NP
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Telephone | 562-213-3046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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