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General NPI Number Information
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NPI Number | 1760191878
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Entity Type | Organization
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Legal Business Name | VISNIC CENTER FOR INTEGRATED HEALTH INC
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Dates
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Enumeration Date | 11/17/2022
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Last Update Date | 12/13/2025
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Provider Practice Location Address
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Address Line | 28999 OLD TOWN FRONT ST STE 206
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City | TEMECULA
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State | CA
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Zip | 92590-5806
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Country | US
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Telephone | 424-442-0663
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Fax |
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Provider Business Mailing Address
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Address Line | 28999 OLD TOWN FRONT ST STE 206
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City | TEMECULA
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State | CA
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Zip | 92590-5806
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Country | US
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Telephone | 424-442-0663
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Fax |
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Authorized Official
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Title or Position | OWNER-PRESIDENT
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Name | SAM VISNIC
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Credential | MT
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Telephone | 310-349-6403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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