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General NPI Number Information
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NPI Number | 1699300384
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Entity Type | Individual
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Provider Name | BRYANNA CABARITI HUBBARD DDS
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Gender | Female
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Dates
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Enumeration Date | 03/03/2020
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Last Update Date | 10/03/2022
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Provider Practice Location Address
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Address Line | 16311 VENTURA BLVD
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City | ENCINO
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State | CA
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Zip | 91436-2124
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Country | US
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Telephone | 818-788-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 9105 BALLARD DR
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City | CHATSWORTH
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State | CA
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Zip | 91311-5772
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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 | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 105199
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License Number State | CA
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