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General NPI Number Information
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NPI Number | 1417404153
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Entity Type | Organization
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Legal Business Name | OCHNA HEALTH
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 1821 WESTINGHOUSE RD STE 1190
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City | GEORGETOWN
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State | TX
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Zip | 78626-7645
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Country | US
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Telephone | 512-348-6399
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Fax | 512-895-9698
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Provider Business Mailing Address
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Address Line | 1821 WESTINGHOUSE RD STE 1190
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City | GEORGETOWN
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State | TX
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Zip | 78626-7645
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Country | US
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Telephone | 512-348-6399
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Fax | 512-669-5140
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. CHAU NGUYEN
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Credential | DO
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Telephone | 512-348-6399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | N0313
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License Number State | TX
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