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General NPI Number Information
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NPI Number | 1053286773
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Entity Type | Individual
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Provider Name | ERICA ORTEGA
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Gender | Female
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Dates
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Enumeration Date | 10/10/2025
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Last Update Date | 07/14/2026
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Provider Practice Location Address
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Address Line | 800 MACARTHUR BLVD STE 29
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City | MUNSTER
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State | IN
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Zip | 46321-2917
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Country | US
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Telephone | 219-378-8872
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Fax |
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Provider Business Mailing Address
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Address Line | 13610 FREEDOM WAY
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City | CEDAR LAKE
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State | IN
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Zip | 46303-0838
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Country | US
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Telephone | 219-378-8872
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71018214A
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License Number State | IN
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