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General NPI Number Information
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NPI Number | 1912395435
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Entity Type | Organization
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Legal Business Name | LMS PHYSICIANS CARE PC
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Dates
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Enumeration Date | 01/06/2015
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 4368 CENTRAL AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-2918
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Country | US
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Telephone | 909-353-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 4368 CENTRAL AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-2918
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Country | US
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Telephone | 951-742-7324
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. WAYNE STEPHEN DYSINGER
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Credential | M.D.
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Telephone | 951-742-7324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083P0901X
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Taxonomy Name | Public Health & General Preventive 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 | 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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