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General NPI Number Information
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NPI Number | 1477833663
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Entity Type | Organization
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Legal Business Name | OCHOA HOLDINGS INC.
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Dates
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Enumeration Date | 08/19/2011
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Last Update Date | 08/19/2011
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Provider Practice Location Address
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Address Line | 10265 NICARAGUA DR
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City | CUTLER BAY
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State | FL
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Zip | 33189-2340
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Country | US
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Telephone | 305-282-7371
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Fax | 305-278-7334
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Provider Business Mailing Address
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Address Line | 10265 NICARAGUA DR
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City | CUTLER BAY
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State | FL
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Zip | 33189-2340
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Country | US
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Telephone | 305-282-7371
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Fax | 305-278-7334
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | CARLOS OCHOA
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Credential |
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Telephone | 786-344-3318
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL11987
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License Number State | FL
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