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General NPI Number Information
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NPI Number | 1659991966
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Entity Type | Individual
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Provider Name | RAPHI HAMBARTZHUMIAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/17/2020
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Last Update Date | 08/27/2024
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Provider Practice Location Address
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Address Line | 40700 CALIFORNIA OAKS RD STE 202
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City | MURRIETA
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State | CA
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Zip | 92562-5789
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Country | US
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Telephone | 951-477-6591
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Fax |
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Provider Business Mailing Address
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Address Line | 44489 TOWN CENTER WAY STE D155
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City | PALM DESERT
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State | CA
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Zip | 92260-2723
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | A183680
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | A183680
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | A183680
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License Number State | CA
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