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NPI 1023508165

NPI 1023508165 : NIAILAH OCHAI : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1023508165
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    Entity Type          |    Individual 
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    Provider Name        |    NIAILAH OCHAI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/15/2018
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    Last Update Date     |    12/02/2024
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Provider Practice Location Address
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    Address Line         |    4301 X ST 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95817-2214
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    Country              |    US
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    Telephone            |    916-734-2011
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    455 TOLL GATE RD 
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    City                 |    WARWICK
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    State                |    RI
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    Zip                  |    02886-2759
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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        |    207RC0001X
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    Taxonomy Name        |    Clinical Cardiac Electrophysiology Physician
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    License Number       |    20A22715
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    License Number State |    CA
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