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General NPI Number Information
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NPI Number | 1942335468
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Entity Type | Organization
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Legal Business Name | INNOVATIVE PAIN TREATMENT SURGERY CENTER OF TEMECULA, INC.
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 27412 ENTERPRISE CIR W SUITE 100
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City | TEMECULA
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State | CA
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Zip | 92590-4803
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Country | US
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Telephone | 951-694-6367
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Fax | 951-694-1428
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Provider Business Mailing Address
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Address Line | 27412 ENTERPRISE CIR W STE 100
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City | TEMECULA
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State | CA
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Zip | 92590-4801
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Country | US
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Telephone | 951-694-6367
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Fax | 951-694-1428
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. AUTUMN ELAINE VILLEGAS
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Credential |
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Telephone | 951-694-6367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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