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General NPI Number Information
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NPI Number | 1891604229
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Entity Type | Organization
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Legal Business Name | UPLIFTEMEKULA
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 27364 JEFFERSON AVE STE A
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City | TEMECULA
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State | CA
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Zip | 92590-5615
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Country | US
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Telephone | 951-540-8927
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Fax |
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Provider Business Mailing Address
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Address Line | 27364 JEFFERSON AVE STE A
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City | TEMECULA
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State | CA
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Zip | 92590-5615
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Country | US
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Telephone | 951-540-8927
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Fax |
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Authorized Official
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Title or Position | C E O
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Name | DR. DUSHYANT VISWANATHAN
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Credential |
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Telephone | 818-251-6498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number |
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License Number State |
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