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General NPI Number Information
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NPI Number | 1598400665
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Entity Type | Organization
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Legal Business Name | DOSE MANAGEMENT CA CORPORATION
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Dates
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Enumeration Date | 05/03/2022
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Last Update Date | 03/25/2024
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Provider Practice Location Address
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Address Line | 3620 BIRCH ST STE 210
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2625
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Country | US
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Telephone | 512-566-4234
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Fax | 833-516-4234
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Provider Business Mailing Address
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Address Line | 1401 LAVACA ST
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City | AUSTIN
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State | TX
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Zip | 78701-1634
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Country | US
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Telephone | 512-566-4233
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE DIRECTOR
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Name | KELLIE SEXTON
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Credential |
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Telephone | 512-566-4233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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