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General NPI Number Information
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NPI Number | 1770462293
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE HEALTHCARE ALLIANCE
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 3028 E COAST HWY
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City | CORONA DEL MAR
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State | CA
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Zip | 92625-2209
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Country | US
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Telephone | 323-391-0800
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Fax | 323-391-0809
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Provider Business Mailing Address
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Address Line | 7240 SANTA BARBARA CT
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City | FONTANA
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State | CA
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Zip | 92336-2903
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Country | US
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Telephone |
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Fax | 323-391-0809
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Authorized Official
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Title or Position | CEO
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Name | PARIS EKENE OBIKE
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Credential |
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Telephone | 323-391-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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