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General NPI Number Information
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NPI Number | 1326080078
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Entity Type | Individual
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Provider Name | NIHRA A HULBERT M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 01/27/2012
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Provider Practice Location Address
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Address Line | 1293 6TH ST
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City | COACHELLA
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State | CA
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Zip | 92236-1707
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Country | US
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Telephone | 760-391-5151
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Fax | 760-775-4818
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Provider Business Mailing Address
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Address Line | 81767 DR CARREON BLVD SUITE #201
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City | INDIO
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State | CA
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Zip | 92201-5597
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Country | US
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Telephone | 760-775-4181
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Fax | 760-775-4818
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | A25553
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License Number State | CA
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