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General NPI Number Information
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NPI Number | 1750236014
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Entity Type | Organization
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Legal Business Name | GODS PROMISE MEDICAL
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 17132 NEVETTE CT
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City | CANYON COUNTRY
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State | CA
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Zip | 91387-3147
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Country | US
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Telephone | 661-373-8580
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Fax |
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Provider Business Mailing Address
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Address Line | 17132 NEVETTE CT
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City | CANYON COUNTRY
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State | CA
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Zip | 91387-3147
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Country | US
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Telephone | 662-373-8580
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. GEORGE HUSARI
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Credential | DO
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Telephone | 661-373-8580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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