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General NPI Number Information
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NPI Number | 1760533301
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Entity Type | Organization
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Legal Business Name | LISA CURCIO MD INC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 25982 PALA 140
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6719
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Country | US
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Telephone | 949-770-0797
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Fax | 949-770-0730
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Provider Business Mailing Address
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Address Line | 25982 PALA 140
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City | MISSION VIEJO
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State | CA
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Zip | 92691-6719
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Country | US
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Telephone | 949-770-0797
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Fax | 949-770-0730
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Authorized Official
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Title or Position | CEO
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Name | LISA CURCIO
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Credential | MD
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Telephone | 949-770-0797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | G781510
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License Number State | CA
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