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General NPI Number Information
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NPI Number | 1912246075
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Entity Type | Individual
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Provider Name | GREGORY OCASIO L.P.C.
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Gender | Male
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Dates
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Enumeration Date | 02/10/2013
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Last Update Date | 02/10/2013
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Provider Practice Location Address
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Address Line | 359 CALLE SAN CLAUDIO STE. 206 CUPEY PROFESSIONAL MALL
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City | SAN JUAN
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State | PR
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Zip | 00926-9907
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Country | US
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Telephone | 787-310-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 359 CALLE SAN CLAUDIO STE. 206 CUPEY PROFESSIONAL MALL
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City | SAN JUAN
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State | PR
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Zip | 00926-9907
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Country | US
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Telephone | 787-310-8880
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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 | 2981
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License Number State | PR
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