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General NPI Number Information
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NPI Number | 1851800197
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Entity Type | Organization
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Legal Business Name | EVEXIA HEALTH SERVICES, LLC.
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Dates
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Enumeration Date | 09/28/2017
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 601 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92543-4335
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Country | US
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Telephone | 951-391-1470
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Fax |
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Provider Business Mailing Address
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Address Line | 601 E FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92543-4335
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Country | US
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Telephone | 951-391-1470
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Fax |
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Authorized Official
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Title or Position | COO
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Name | CHRISTOPHER LO
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Credential |
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Telephone | 951-391-1470
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2800X
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Taxonomy Name | Methadone Clinic
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License Number |
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License Number State |
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