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General NPI Number Information
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NPI Number | 1558857789
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Entity Type | Individual
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Provider Name | MARIANO OCHOA-CARRILLO
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Gender | Male
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 12/03/2021
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Provider Practice Location Address
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Address Line | 21600 OXNARD ST STE 103
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-4976
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Country | US
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Telephone | 877-206-1009
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Fax |
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Provider Business Mailing Address
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Address Line | 9922 BROADWAY APT 17
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City | ANAHEIM
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State | CA
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Zip | 92804-2388
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Country | US
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Telephone | 714-654-7780
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-21-55755
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License Number State | CA
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