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General NPI Number Information
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NPI Number | 1235081050
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Entity Type | Individual
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Provider Name | VANESSA GUBBLES
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Gender | Female
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1317 DEL NORTE RD STE 100&105
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City | CAMARILLO
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State | CA
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Zip | 93010-8485
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Country | US
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Telephone | 805-485-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 163 W PARK ROW AVE
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City | VENTURA
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State | CA
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Zip | 93001-1835
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 434306
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License Number State |
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