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General NPI Number Information
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NPI Number | 1891310124
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Entity Type | Organization
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Legal Business Name | MOVN HEALTH MEDICAL GROUP PLLC
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Dates
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Enumeration Date | 06/12/2020
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 3415 S SEPULVEDA BLVD STE 1168
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City | LOS ANGELES
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State | CA
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Zip | 90034-6060
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Country | US
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Telephone | 833-426-6686
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Fax |
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Provider Business Mailing Address
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Address Line | 3415 S SEPULVEDA BLVD STE 1168
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City | LOS ANGELES
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State | CA
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Zip | 90034-6060
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Country | US
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Telephone | 833-426-6686
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & OWNER
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Name | JOSEPH C DEARIE
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Credential | MD
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Telephone | 833-426-6686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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