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General NPI Number Information
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NPI Number | 1205298221
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Entity Type | Individual
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Provider Name | STEPHANIE ORTEGA
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Gender | Female
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 8330 RESEDA BLVD
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4619
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Country | US
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Telephone | 818-342-5897
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Fax |
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Provider Business Mailing Address
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Address Line | 20234 CANTARA ST
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City | WINNETKA
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State | CA
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Zip | 91306-1870
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Country | US
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Telephone | 818-792-8813
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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