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General NPI Number Information
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NPI Number | 1649089822
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Entity Type | Individual
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Provider Name | LIZETTE OCHOA
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Gender | Female
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Dates
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Enumeration Date | 01/02/2025
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 8939 S SEPULVEDA BLVD STE 324
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City | LOS ANGELES
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State | CA
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Zip | 90045-3647
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Country | US
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Telephone | 310-759-0275
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Fax |
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Provider Business Mailing Address
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Address Line | 36756 CLEARWOOD CT
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City | PALMDALE
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State | CA
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Zip | 93550-8523
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Country | US
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Telephone | 661-470-2254
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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