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General NPI Number Information
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NPI Number | 1679425771
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Entity Type | Individual
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Provider Name | NIKOLAS HIDEKI OHARA
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Gender | Male
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 200 NEWPORT CENTER DR STE 213
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-7503
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Country | US
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Telephone | 949-644-1322
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 SULLIVAN
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City | IRVINE
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State | CA
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Zip | 92614-4265
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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