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General NPI Number Information
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NPI Number | 1033392261
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Entity Type | Individual
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Provider Name | GABE O OCHUBA LVN. WCC.
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Gender | Male
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Dates
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Enumeration Date | 12/11/2007
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 12112 S VERMONT AVE APT 10
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City | LOS ANGELES
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State | CA
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Zip | 90044-2974
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Country | US
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Telephone | 323-333-1713
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Fax | 323-242-8951
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Provider Business Mailing Address
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Address Line | 12112 S VERMONT AVE APT 10
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City | LOS ANGELES
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State | CA
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Zip | 90044-2974
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Country | US
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Telephone | 323-333-1713
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Fax | 323-242-8951
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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 | 164X00000X
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Taxonomy Name | Licensed Vocational Nurse
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License Number | VN189227
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License Number State | CA
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