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General NPI Number Information
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NPI Number | 1952663437
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Entity Type | Individual
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Provider Name | SONIA OCAMPO SPECIAL ED / TSHH
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Gender | Female
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 111 LIVINGSTON ST STE 1101
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City | BROOKLYN
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State | NY
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Zip | 11201-5068
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Country | US
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Telephone | 718-625-4055
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Fax |
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Provider Business Mailing Address
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Address Line | 16303 22ND AVE
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City | WHITESTONE
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State | NY
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Zip | 11357-4029
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Country | US
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Telephone | 646-321-3937
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 550917111
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 550918111
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 365840091
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License Number State | NY
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