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General NPI Number Information
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NPI Number | 1790984623
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Entity Type | Individual
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Provider Name | ROBERT JOHN OCHSNER M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 5731 N ACADEMY BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3684
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Country | US
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Telephone | 719-445-3260
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Fax |
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Provider Business Mailing Address
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Address Line | 5731 N ACADEMY BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-3684
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Country | US
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Telephone | 719-445-3260
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 053061
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | IMLC.MD.61015852
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 0101270615
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | D0090402
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License Number State | MD
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Taxonomy #5
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 53061
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 036160445
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License Number State | IL
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