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NPI 1982635322

NPI 1982635322 : STANDIFORD HELM II, M.D. INC. : LAGUNA HILLS, CA

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General NPI Number Information
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    NPI Number           |    1982635322
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    Entity Type          |    Organization 
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    Legal Business Name  |    STANDIFORD HELM II, M.D. INC. 
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Dates
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    Enumeration Date     |    07/05/2006
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    Last Update Date     |    02/20/2008
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Provider Practice Location Address
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    Address Line         |    24902 MOULTON PKWY SUITE 200
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    City                 |    LAGUNA HILLS
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    State                |    CA
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    Zip                  |    92637-6410
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    Country              |    US
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    Telephone            |    949-462-0560
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    Fax                  |    949-462-3910
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2549 
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    City                 |    MISSION VIEJO
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    State                |    CA
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    Zip                  |    92690-0549
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    Country              |    US
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    Telephone            |    949-462-0560
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    Fax                  |    949-462-3910
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     STANDIFORD  HELM II
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    Credential           |    M.D.
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    Telephone            |    949-462-0560
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208VP0014X
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    Taxonomy Name        |    Interventional Pain Medicine Physician
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    License Number       |    G38246
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    License Number State |    CA
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