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General NPI Number Information
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NPI Number | 1538908355
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Entity Type | Organization
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Legal Business Name | HUDDLE MEN'S HEALTH PC
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Dates
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Enumeration Date | 05/21/2024
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Last Update Date | 05/21/2024
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Provider Practice Location Address
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Address Line | 27349 JEFFERSON AVE STE 116
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City | TEMECULA
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State | CA
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Zip | 92590-5610
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Country | US
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Telephone | 951-540-0020
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Fax |
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Provider Business Mailing Address
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Address Line | 27349 JEFFERSON AVE STE 116
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City | TEMECULA
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State | CA
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Zip | 92590-5610
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Country | US
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Telephone | 951-540-0020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. ANDRES ZULETA
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Credential | MD
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Telephone | 951-540-0020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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