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General NPI Number Information
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NPI Number | 1235675422
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Entity Type | Individual
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Provider Name | MARISSA OCHOA APRN
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Gender | Female
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Dates
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Enumeration Date | 01/11/2017
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Last Update Date | 06/20/2025
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Provider Practice Location Address
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Address Line | 263 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6715
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Country | US
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Telephone | 954-989-5747
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Fax |
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Provider Business Mailing Address
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Address Line | 2300 N FLORIDA MANGO RD
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6416
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Country | US
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Telephone |
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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 | AC007376
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 9312351
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License Number State | FL
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