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General NPI Number Information
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NPI Number | 1053047381
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Entity Type | Individual
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Provider Name | JOCELYN ORTIZ
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Gender | Female
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Dates
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Enumeration Date | 07/28/2022
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 1101 S CAPITAL OF TEXAS HWY STE 100
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6445
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Country | US
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Telephone | 214-351-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 21031 REDVINE TERRACE CT
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City | RICHMOND
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State | TX
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Zip | 77407-4513
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Country | US
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Telephone | 469-569-0210
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 122872
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License Number State | TX
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