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General NPI Number Information
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NPI Number | 1053825166
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Entity Type | Individual
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Provider Name | NOEMI MARIE ORTIZ LMT
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Gender | Female
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Dates
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Enumeration Date | 11/28/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 3350 PEORIA ST
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City | AURORA
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State | CO
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Zip | 80010-1483
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Country | US
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Telephone | 303-365-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 10001 E EVANS AVE APT 75D
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City | AURORA
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State | CO
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Zip | 80247-3556
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Country | US
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Telephone | 303-385-7552
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT0012756
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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