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General NPI Number Information
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NPI Number | 1851787295
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Entity Type | Organization
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Legal Business Name | HDMC HOLDINGS, LLC
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Dates
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Enumeration Date | 04/13/2015
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 6601 WHITE FEATHER RD
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City | JOSHUA TREE
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State | CA
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Zip | 92252-6607
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Country | US
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Telephone | 760-366-3711
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Fax |
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Provider Business Mailing Address
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Address Line | 6601 WHITE FEATHER RD
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City | JOSHUA TREE
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State | CA
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Zip | 92252-6607
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Country | US
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Telephone | 760-366-3711
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | JIMMY FISH
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Credential |
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Telephone | 760-366-6262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 240000231
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License Number State | CA
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