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General NPI Number Information
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NPI Number | 1164888400
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Entity Type | Individual
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Provider Name | AMY OCHLE FNP-C
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Gender | Female
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Dates
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Enumeration Date | 12/31/2015
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Last Update Date | 07/21/2016
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Provider Practice Location Address
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Address Line | 1302 E 5TH ST
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City | PUEBLO
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State | CO
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Zip | 81001-3754
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Country | US
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Telephone | 719-543-8711
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Fax | 719-543-0171
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Provider Business Mailing Address
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Address Line | 110 E ROUTT AVE
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City | PUEBLO
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State | CO
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Zip | 81004-2117
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Country | US
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Telephone | 719-543-8711
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Fax | 719-543-0171
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0992284
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License Number State | CO
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