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General NPI Number Information
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NPI Number | 1063199800
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Entity Type | Individual
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Provider Name | CHRISTOPHER G ORTIZ MORALES
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Gender | Male
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Dates
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Enumeration Date | 07/03/2023
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | (787) 535-1001
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City | CAYEY
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State | PR
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Zip | 00737
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Country | US
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Telephone | 787-535-1001
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Fax |
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Provider Business Mailing Address
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Address Line | URB. CORREO VILLA AVE TEJAS AA2 PMB 133 C3 R20
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City | HUMACAO
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State | PR
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Zip | 00791
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Country | US
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Telephone | 787-344-2310
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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