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General NPI Number Information
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NPI Number | 1073424081
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Entity Type | Organization
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Legal Business Name | OC NUTRITION PRACTICE PC
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 1440 N HARBOR BLVD STE 721
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City | FULLERTON
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State | CA
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Zip | 92835-4120
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Country | US
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Telephone | 714-869-7174
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Fax | 833-525-1911
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Provider Business Mailing Address
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Address Line | 1440 N HARBOR BLVD STE 721
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City | FULLERTON
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State | CA
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Zip | 92835-4120
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Country | US
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Telephone | 714-869-7174
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Fax | 833-525-1911
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Authorized Official
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Title or Position | OWNER
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Name | NANCY AHL
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Credential | RD, CDCES
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Telephone | 714-869-7174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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