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General NPI Number Information
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NPI Number | 1134285588
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Entity Type | Individual
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Provider Name | MARIANGELY ORTIZ CPHT
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Gender | Female
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 121 RD KM 4.3
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City | GUANICA
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State | PR
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Zip | 00653
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Country | US
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Telephone | 787-821-5507
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Fax | 787-821-5507
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Provider Business Mailing Address
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Address Line | HC 10 BOX 7845
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City | SABANA GRANDE
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State | PR
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Zip | 00637-9715
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Country | US
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Telephone | 787-821-5507
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Fax | 787-821-5507
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 17019
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License Number State | PR
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