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General NPI Number Information
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NPI Number | 1184981011
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Entity Type | Individual
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Provider Name | DAMARIS ORTIZ MD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2012
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 720 ESKENAZI AVE.
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5166
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Country | US
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Telephone | 317-880-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 6431 FANNIN ST SUITE MSB 4.020
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-7200
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Fax | 713-486-0971
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 125061812
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | R2695
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01082542A
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License Number State | IN
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