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General NPI Number Information
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NPI Number | 1982579215
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Entity Type | Organization
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Legal Business Name | ASPIRE HEALTH MSO LLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 14390 CIVIC DR
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City | VICTORVILLE
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State | CA
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Zip | 92392-9709
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Country | US
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Telephone | 888-873-6220
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Fax | 888-873-6220
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Provider Business Mailing Address
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Address Line | 29911 NIGUEL RD UNIT 6429
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92607-2417
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Country | US
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Telephone | 949-842-9628
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Fax | 888-873-6220
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Authorized Official
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Title or Position | CEO
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Name | DR. NIKAN KHATIBI
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Credential | DO
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Telephone | 949-842-9628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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