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General NPI Number Information
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NPI Number | 1689533770
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Entity Type | Organization
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Legal Business Name | HEALTH CENTER MSO LLC
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 36101 BOB HOPE DR STE E2
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2006
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Country | US
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Telephone | 877-469-3090
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Fax |
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Provider Business Mailing Address
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Address Line | 36101 BOB HOPE DR STE E2
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-2006
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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 | DIRECTOR
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Name | DR. RICHARD VEZINA
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Credential | DR
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Telephone | 877-469-3090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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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 | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number |
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License Number State |
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