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General NPI Number Information
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NPI Number | 1225051568
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Entity Type | Individual
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Provider Name | CARMELITA OCAMPO NICDAO MD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 1050 GRAPE AVE
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City | SAINT CLOUD
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State | FL
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Zip | 34769-3965
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Country | US
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Telephone | 407-892-2973
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Fax | 407-943-6468
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Provider Business Mailing Address
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Address Line | 928 SAN RAPHAEL ST
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City | KISSIMMEE
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State | FL
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Zip | 34759-3907
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Country | US
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Telephone | 863-496-1234
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Fax | 863-496-2070
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME20377
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License Number State | FL
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