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General NPI Number Information
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NPI Number | 1982813879
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Entity Type | Organization
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Legal Business Name | ORGANIZATIONAL CONSULTANTS OF AMERICA ORCA, INC.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 804 W 16TH ST
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2435
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Country | US
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Telephone | 903-572-9893
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Fax | 903-572-8873
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Provider Business Mailing Address
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Address Line | 804 W 16TH ST SUITE 2
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City | MOUNT PLEASANT
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State | TX
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Zip | 75455-2435
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Country | US
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Telephone | 903-572-9893
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Fax | 903-572-8873
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. LINDA JO BAKER
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Credential | LNFA, C.PED
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Telephone | 903-572-9893
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 117078
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License Number State | TX
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