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General NPI Number Information
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NPI Number | 1073311981
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Entity Type | Individual
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Provider Name | MARIANELA ORTEGA BORROTO
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 4793 N CONGRESS AVE STE 203204
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-7937
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Country | US
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Telephone | 561-429-3863
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Fax | 561-448-6063
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Provider Business Mailing Address
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Address Line | 4824 VIA BARI APT 2305
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City | LAKE WORTH
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State | FL
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Zip | 33463-6830
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Country | US
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Telephone | 561-913-3950
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Fax | 561-913-3950
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-407116
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License Number State | FL
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