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General NPI Number Information
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NPI Number | 1043792179
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Entity Type | Individual
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Provider Name | JENNIFER DURAN OCAMPO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 1611 1ST ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-2901
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Country | US
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Telephone | 661-336-5300
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Fax | 661-336-5303
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Provider Business Mailing Address
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Address Line | 1611 1ST ST
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City | BAKERSFIELD
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State | CA
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Zip | 93304-2901
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Country | US
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Telephone | 661-336-5300
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Fax | 661-336-5303
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | NP95009869
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License Number State | CA
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