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General NPI Number Information
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NPI Number | 1477481570
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Entity Type | Organization
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Legal Business Name | PRECISION METABOLIX A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/11/2026
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Last Update Date | 05/11/2026
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Provider Practice Location Address
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Address Line | 675 CAMINO DE LOS MARES STE 302
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-2836
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Country | US
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Telephone | 949-259-2790
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Fax |
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Provider Business Mailing Address
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Address Line | 675 CAMINO DE LOS MARES STE 302
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-2836
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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 | HEYDI KATERINA MANRIQUE-APARICIO
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Credential |
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Telephone | 760-994-3114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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