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General NPI Number Information
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NPI Number | 1881444032
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Entity Type | Individual
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Provider Name | LARRY A OJO
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Gender | Male
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Dates
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Enumeration Date | 03/22/2024
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Last Update Date | 03/22/2024
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Provider Practice Location Address
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Address Line | 12410 MONTWOOD DR STE C
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City | EL PASO
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State | TX
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Zip | 79928-1789
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Country | US
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Telephone | 915-500-4566
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Fax |
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Provider Business Mailing Address
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Address Line | 8522 CHICKAMAUGA LN
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City | HOUSTON
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State | TX
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Zip | 77083-6372
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Country | US
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Telephone | 832-858-4757
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 38978
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License Number State | TX
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