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General NPI Number Information
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NPI Number | 1629768361
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Entity Type | Organization
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Legal Business Name | OCARIZA MEDICAL SERVICES
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Dates
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Enumeration Date | 05/08/2023
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Last Update Date | 05/08/2023
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Provider Practice Location Address
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Address Line | 1142 E 215TH PL
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City | CARSON
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State | CA
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Zip | 90745-1602
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Country | US
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Telephone | 310-938-9741
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Fax |
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Provider Business Mailing Address
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Address Line | 1142 E 215TH PL
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City | CARSON
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State | CA
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Zip | 90745-1602
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JOIEMHIL JEMICCA OCARIZA
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Credential | NP
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Telephone | 310-938-9741
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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