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General NPI Number Information
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NPI Number | 1083971055
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Entity Type | Individual
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Provider Name | LAURA ROSA ORTEGA LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 8200 NW 41ST ST STE 300
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City | DORAL
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State | FL
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Zip | 33166-6204
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Country | US
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Telephone | 305-908-1115
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Fax | 305-675-3135
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Provider Business Mailing Address
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Address Line | 382 NE 191ST ST
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City | MIAMI
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State | FL
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Zip | 33179-3899
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Country | US
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Telephone | 305-908-1115
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Fax | 305-675-3135
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT 2451
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License Number State | FL
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