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General NPI Number Information
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NPI Number | 1184155459
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Entity Type | Individual
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Provider Name | AILEEN MARIE OCAMPO MACARAEG DNP, FNP, PMHNP, MPH
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Gender | Female
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Dates
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Enumeration Date | 03/27/2017
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 10404 W COGGINS DR STE 110
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City | SUN CITY
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State | AZ
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Zip | 85351-3465
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Country | US
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Telephone | 715-279-3956
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Fax |
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Provider Business Mailing Address
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Address Line | 14564 N 154TH LN
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City | SURPRISE
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State | AZ
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Zip | 85379-7077
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Country | US
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Telephone | 233-264-4896
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP9900
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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 | AP9900
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License Number State | AZ
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