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General NPI Number Information
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NPI Number | 1639895741
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Entity Type | Organization
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Legal Business Name | ALLO INTEGRATIVE HEALTH CENTER
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 180 E MAIN ST STE 203
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City | TUSTIN
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State | CA
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Zip | 92780-4414
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Country | US
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Telephone | 949-393-3633
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Fax |
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Provider Business Mailing Address
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Address Line | 136 MONTE VIS
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City | IRVINE
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State | CA
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Zip | 92602-2004
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Country | US
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Telephone | 949-393-3633
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Fax |
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Authorized Official
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Title or Position | NURSE MIDWIFE, NURSE PRACTITIONER
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Name | DR. CHANELLE NSANGOU NJOYA
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Credential | DNP, FNP-C, CNM
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Telephone | 949-393-3633
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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