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General NPI Number Information
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NPI Number | 1073434783
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Entity Type | Individual
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Provider Name | NOZOMI FUJIWARA
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 1218 IRVINE BLVD STE 12
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City | TUSTIN
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State | CA
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Zip | 92780-3531
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Country | US
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Telephone | 657-321-8548
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Fax |
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Provider Business Mailing Address
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Address Line | 16 FARRAGUT
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City | IRVINE
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State | CA
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Zip | 92620-3340
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Country | US
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Telephone | 949-522-1627
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | L9812
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License Number State | CA
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