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General NPI Number Information
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NPI Number | 1164314241
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Entity Type | Individual
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Provider Name | EVELYN G ORTIZ
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Gender | Female
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 426 N BLACKSTONE ST
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City | TULARE
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State | CA
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Zip | 93274-4449
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Country | US
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Telephone | 559-688-2021
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Fax |
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Provider Business Mailing Address
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Address Line | 824 W MAPLE AVE
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City | TULARE
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State | CA
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Zip | 93274-2609
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Country | US
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Telephone | 559-686-8751
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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 | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number | 1318B34F1
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License Number State | CA
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