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NPI 1487367892

NPI 1487367892 : KIMBERLY M HUBBARD ND : LONG BEACH, CA

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General NPI Number Information
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    NPI Number           |    1487367892
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    Entity Type          |    Individual 
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    Provider Name        |    KIMBERLY M HUBBARD ND
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/30/2022
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    Last Update Date     |    10/27/2025
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Provider Practice Location Address
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    Address Line         |    5318 E 2ND ST # 4099 
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    City                 |    LONG BEACH
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    State                |    CA
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    Zip                  |    90803-5324
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    Country              |    US
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    Telephone            |    424-259-3644
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5941 CALIFORNIA AVE SW APT 103 
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    City                 |    SEATTLE
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    State                |    WA
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    Zip                  |    98136-1665
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    Country              |    US
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    Telephone            |    310-855-2636
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    137664
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    20938
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    License Number State |    CA
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Taxonomy #3
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    Taxonomy Code        |    175F00000X
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    Taxonomy Name        |    Naturopath
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    License Number       |    
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    License Number State |    CA
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Taxonomy #4
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    Taxonomy Code        |    175L00000X
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    Taxonomy Name        |    Homeopath
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    License Number       |    
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    License Number State |    
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