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General NPI Number Information
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NPI Number | 1922353929
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Entity Type | Individual
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Provider Name | JAN OCHS RDHAP
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Gender | Female
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Dates
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Enumeration Date | 07/17/2012
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Last Update Date | 06/19/2013
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Provider Practice Location Address
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Address Line | 26188 AUGUSTA DR.
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City | LAKE ARROWHEAD
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State | CA
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Zip | 92352
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Country | US
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Telephone | 909-289-1241
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9431
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City | REDLANDS
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State | CA
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Zip | 92375-2631
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Country | US
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Telephone | 909-289-1241
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 471
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License Number State | CA
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