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General NPI Number Information
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NPI Number | 1740379874
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Entity Type | Individual
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Provider Name | ROSALIA OCAMICA PA-C
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 10/21/2008
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Provider Practice Location Address
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Address Line | 364 SE 8TH AVE SUITE # 200
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City | HILLSBORO
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State | OR
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Zip | 97123-4253
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Country | US
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Telephone | 503-681-4310
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Fax |
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Provider Business Mailing Address
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Address Line | 364 SE 8TH AVE SUITE # 200
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City | HILLSBORO
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State | OR
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Zip | 97123-4253
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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 |
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | PA 01165
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License Number State | OR
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