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General NPI Number Information
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NPI Number | 1790174761
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Entity Type | Individual
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Provider Name | RAMON JOCOM
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Gender | Male
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Dates
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Enumeration Date | 01/14/2015
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 12401 WASHINGTON BLVD
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City | WHITTIER
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State | CA
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Zip | 90602-1006
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Country | US
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Telephone | 532-698-0811
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Fax | 562-789-5902
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Provider Business Mailing Address
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Address Line | 8428 E KENDRA LOOP
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City | ORANGE
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State | CA
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Zip | 92867-1505
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Country | US
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Telephone | 714-325-1773
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 95001904
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 95001904
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 95001904
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License Number State | CA
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