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General NPI Number Information
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NPI Number | 1548314735
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Entity Type | Individual
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Provider Name | JASON OCHOA FNP, PA-C
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Gender | Male
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 8170 LAGUNA BLVD
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City | ELK GROVE
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State | CA
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Zip | 95758
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Country | US
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Telephone | 916-691-5900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 255228
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City | SACRAMENTO
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State | CA
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Zip | 95865-5228
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Country | US
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Telephone | 855-771-9335
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | FNP 13919
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA 16872
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License Number State | CA
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