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General NPI Number Information
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NPI Number | 1295946010
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Entity Type | Individual
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Provider Name | JOSEPH ANTHONY OCAMPO DE JESUS MD
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Gender | Male
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 310 SALEM WOODSTOWN RD
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City | SALEM
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State | NJ
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Zip | 08079-2064
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Country | US
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Telephone | 856-339-6054
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Fax | 856-935-6714
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Provider Business Mailing Address
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Address Line | 13280 EVENING CREEK DR S STE 110
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City | SAN DIEGO
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State | CA
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Zip | 92128-4109
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA08363700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | C200530
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License Number State | CA
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