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General NPI Number Information
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NPI Number | 1588441612
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Entity Type | Organization
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Legal Business Name | MOVN HEALTH MEDICAL GROUP PC
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Dates
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Enumeration Date | 09/12/2023
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 3415 S SEPULVEDA BLVD STE 1100
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City | LOS ANGELES
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State | CA
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Zip | 90034-7090
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Country | US
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Telephone | 833-426-6686
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Fax | 949-534-0510
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Provider Business Mailing Address
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Address Line | 16969 VON KARMAN AVE STE 175
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City | IRVINE
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State | CA
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Zip | 92606-4939
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Country | US
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Telephone | 833-208-6747
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Fax | 949-534-0510
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH DEARIE
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Credential | MD
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Telephone | 833-208-6747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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