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General NPI Number Information
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NPI Number | 1861212706
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Entity Type | Individual
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Provider Name | STEPHANIE OCHOA
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 2210 E VISTA WAY STE 1
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City | VISTA
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State | CA
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Zip | 92084-2755
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Country | US
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Telephone | 408-621-3996
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 OCEANSIDE BLVD APT 112
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City | OCEANSIDE
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State | CA
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Zip | 92054-4837
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Country | US
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Telephone | 408-621-3996
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 140826
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License Number State | CA
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