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General NPI Number Information
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NPI Number | 1740605153
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Entity Type | Individual
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Provider Name | JAIME OCHOA
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Gender | Male
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Dates
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Enumeration Date | 02/20/2014
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Last Update Date | 02/24/2020
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Provider Practice Location Address
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Address Line | 1615 HILLENDAHL BLVD STE 100
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City | HOUSTON
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State | TX
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Zip | 77055-3402
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Country | US
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Telephone | 713-462-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 800 W SAM HOUSTON PKWY S STE 200
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City | HOUSTON
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State | TX
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Zip | 77042-1914
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Country | US
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Telephone | 713-462-6565
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 79627
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License Number State | TX
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