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General NPI Number Information
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NPI Number | 1740558774
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Entity Type | Organization
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Legal Business Name | DR. MONTES DE OCA & ASSOCIATES
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Dates
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Enumeration Date | 12/05/2011
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Last Update Date | 12/05/2011
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Provider Practice Location Address
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Address Line | 9065 SW 87TH AVE SUITE 106
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City | MIAMI
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State | FL
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Zip | 33176-2307
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Country | US
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Telephone | 305-302-1793
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Fax | 305-595-5225
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Provider Business Mailing Address
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Address Line | 9065 SW 87TH AVE SUITE 106
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City | MIAMI
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State | FL
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Zip | 33176-2307
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Country | US
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Telephone | 305-302-1793
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Fax | 305-595-5225
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Authorized Official
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Title or Position | OWNER
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Name | DR. GLORIA M. MONTES DE OCA
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Credential |
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Telephone | 305-302-1793
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TF0200X
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Taxonomy Name | Forensic Psychologist
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License Number | PY 7546
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY 7546
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License Number State | FL
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