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General NPI Number Information
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NPI Number | 1134044589
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Entity Type | Individual
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Provider Name | JOHAN OZUNA
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Gender | Male
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Dates
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Enumeration Date | 08/13/2026
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Last Update Date | 08/13/2026
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Provider Practice Location Address
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Address Line | 716 FAIRMOUNT PL
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City | BRONX
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State | NY
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Zip | 10457-6405
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Country | US
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Telephone | 718-731-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 2116 CROTONA PKWY APT 4D
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City | BRONX
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State | NY
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Zip | 10460-1555
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Country | US
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Telephone | 929-334-8045
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 42628
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License Number State | NY
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