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General NPI Number Information
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NPI Number | 1154194207
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Entity Type | Individual
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Provider Name | INNA BABIYEV
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Gender | Female
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Dates
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Enumeration Date | 10/31/2023
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Last Update Date | 10/31/2023
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Provider Practice Location Address
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Address Line | 665 CAMINO DE LOS MARES STE 200
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-2838
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Country | US
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Telephone | 949-312-2425
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Fax |
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Provider Business Mailing Address
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Address Line | 310 S TWIN OAKS VALLEY RD SUITE 107 - 274
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City | SAN MARCOS
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State | CA
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Zip | 92078
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Country | US
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Telephone |
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 1462
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License Number State | CA
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