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General NPI Number Information
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NPI Number | 1952211955
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Entity Type | Organization
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Legal Business Name | ADVANCED CENTER FOR SPORTS & MUSCULOSKELETAL MEDICINE INC
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/11/2026
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Provider Practice Location Address
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Address Line | 22342 AVENIDA EMPRESA STE 195
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City | RANCHO SANTA MARGARITA
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State | CA
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Zip | 92688-2152
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Country | US
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Telephone | 949-858-7001
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Fax | 855-523-0512
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Provider Business Mailing Address
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Address Line | 665 CAMINO DE LOS MARES STE 305
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-2841
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Country | US
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Telephone | 949-388-1060
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Fax | 855-523-0512
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Authorized Official
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Title or Position | ACCESS MGR.
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Name | KATHERIN G.S. HAYES
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Credential |
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Telephone | 619-204-8992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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