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General NPI Number Information
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NPI Number | 1912785049
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Entity Type | Individual
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Provider Name | COURTNEY ASSUMMA PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/19/2023
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 29578 YORKTON RD
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City | MURRIETA
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State | CA
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Zip | 92563-4714
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Country | US
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Telephone | 951-225-6276
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Fax |
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Provider Business Mailing Address
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Address Line | 32010 CORTE LA PUENTA
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City | TEMECULA
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State | CA
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Zip | 92592-6379
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Country | US
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Telephone | 951-294-2211
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA63522
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License Number State | CA
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