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General NPI Number Information
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NPI Number | 1154059210
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Entity Type | Organization
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Legal Business Name | ORTIZ TRANSPORTATION LLC
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Dates
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Enumeration Date | 08/08/2022
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 47 ASHBY STATE RD STE 101S
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City | FITCHBURG
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State | MA
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Zip | 01420-2038
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Country | US
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Telephone | 978-516-0027
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Fax | 978-516-0069
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Provider Business Mailing Address
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Address Line | 79 EASTERN AVE APT 1
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City | WORCESTER
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State | MA
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Zip | 01605-3479
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Country | US
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Telephone | 978-516-0027
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Fax | 978-516-0069
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | JESSICA ORTIZ
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Credential |
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Telephone | 774-386-0673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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