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General NPI Number Information
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NPI Number | 1508875469
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Entity Type | Organization
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Legal Business Name | ADVANTAGE HEALTH CARE SERVICES - MISSION INC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 26800 CROWN VALLEY PKWY STE 185
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6384
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Country | US
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Telephone | 949-364-9009
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Fax | 949-347-0547
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Provider Business Mailing Address
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Address Line | 26800 CROWN VALLEY PKWY STE 185
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6384
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Country | US
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Telephone | 949-364-9009
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Fax | 949-347-0547
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Authorized Official
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Title or Position | SECRETARY
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Name | RAJNIS JASANI
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Credential |
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Telephone | 909-948-8377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PHY51550
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License Number State | CA
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