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NPI 1922897263

NPI 1922897263 : OPS212, LLC : MENIFEE, CA

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General NPI Number Information
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    NPI Number           |    1922897263
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    Entity Type          |    Organization 
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    Legal Business Name  |    OPS212, LLC 
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Dates
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    Enumeration Date     |    05/03/2025
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    Last Update Date     |    05/03/2025
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Provider Practice Location Address
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    Address Line         |    27367 ELK HILL DR 
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    City                 |    MENIFEE
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    State                |    CA
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    Zip                  |    92586-5228
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    Country              |    US
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    Telephone            |    951-740-2681
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    41593 WINCHESTER RD STE 200 
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    City                 |    TEMECULA
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    State                |    CA
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    Zip                  |    92590-4857
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    Country              |    US
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    Telephone            |    951-740-2681
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     NOEL  ALICEACINTRON 
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    Credential           |    
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    Telephone            |    951-740-2681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251K00000X
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    Taxonomy Name        |    Public Health or Welfare Agency
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    License Number       |    
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    License Number State |    
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