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General NPI Number Information
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NPI Number | 1063841666
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Entity Type | Individual
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Provider Name | JUDITH OCHIENG FNP-PMHNP
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Gender | Female
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Dates
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Enumeration Date | 11/04/2013
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 177 N CHURCH AVE
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City | TUCSON
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State | AZ
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Zip | 85701-1121
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Country | US
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Telephone | 520-210-7008
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Fax | 520-210-7398
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Provider Business Mailing Address
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Address Line | 177 N CHURCH AVE
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City | TUCSON
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State | AZ
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Zip | 85701-1121
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Country | US
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Telephone | 520-210-7008
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Fax | 520-210-7398
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | AP5284
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | TAP5284
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License Number State | AZ
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