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General NPI Number Information
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NPI Number | 1932059144
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Entity Type | Organization
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Legal Business Name | RHEOMED MSO, INC
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 5724 E ROCKING HORSE WAY
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City | ORANGE
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State | CA
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Zip | 92869-4320
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Country | US
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Telephone | 714-402-6748
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Fax |
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Provider Business Mailing Address
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Address Line | 5724 E ROCKING HORSE WAY
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City | ORANGE
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State | CA
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Zip | 92869-4320
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Country | US
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Telephone | 714-402-6748
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Fax |
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | MS. SELESTE CHILDERS
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Credential |
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Telephone | 318-470-2947
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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