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General NPI Number Information
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NPI Number | 1194757302
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Entity Type | Individual
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Provider Name | DAVID ALFREDO ORTA JR. MD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 04/09/2015
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Provider Practice Location Address
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Address Line | 7500 SW 8 ST SUITE 209
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City | MIAMI
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State | FL
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Zip | 33144
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Country | US
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Telephone | 305-262-6296
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Fax | 305-262-4176
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Provider Business Mailing Address
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Address Line | 12035 SW 126 ST
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City | MIAMI
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State | FL
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Zip | 33186
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Country | US
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Telephone | 786-242-4250
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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 | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | ME25215
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License Number State | FL
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