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General NPI Number Information
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NPI Number | 1568673275
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Entity Type | Individual
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Provider Name | JOSEPH OCEGUERA LMT, PTA, BMO
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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 | 03/20/2025
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Provider Practice Location Address
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Address Line | 4567 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33126-2306
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Country | US
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Telephone | 305-448-4002
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Fax | 305-448-1956
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Provider Business Mailing Address
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Address Line | 4567 NW 7TH ST
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City | MIAMI
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State | FL
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Zip | 33126-2306
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Country | US
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Telephone | 305-448-4002
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Fax | 305-448-1956
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MA36669
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | BMO83271
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 33364
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License Number State | FL
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