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General NPI Number Information
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NPI Number | 1790711935
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Entity Type | Individual
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Provider Name | IONELA O HUBBARD LAC, DOM, IFMCP
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/22/2024
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Provider Practice Location Address
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Address Line | 12341 NEWPORT AVE STE A200
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City | NORTH TUSTIN
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State | CA
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Zip | 92705-8202
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Country | US
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Telephone | 949-726-0707
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Fax | 949-258-8726
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Provider Business Mailing Address
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Address Line | 57 PLYMOUTH
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City | IRVINE
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State | CA
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Zip | 92620-2642
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Country | US
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Telephone | 909-478-0600
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Fax | 909-478-0618
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC4756
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | AC4756
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License Number State | CA
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