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General NPI Number Information
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NPI Number | 1578301495
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Entity Type | Organization
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Legal Business Name | DAZZLE HEALTH P C
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Dates
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Enumeration Date | 07/16/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 18650 MACARTHUR BLVD STE 450
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City | IRVINE
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State | CA
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Zip | 92612-1253
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Country | US
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Telephone | 949-570-7750
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Fax |
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Provider Business Mailing Address
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Address Line | 18650 MACARTHUR BLVD STE 450
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City | IRVINE
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State | CA
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Zip | 92612-1253
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Country | US
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Telephone | 949-570-7750
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Fax |
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Authorized Official
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Title or Position | CO-FOUNDER
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Name | RYAN SOO HOO
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Credential |
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Telephone | 626-807-9978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0805X
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Taxonomy Name | Geriatric Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213EP1101X
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Taxonomy Name | Primary Podiatric Medicine Podiatrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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