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1205765252 NPI number — PAIGE LORAL ORTIZ

NPI Number: 1205765252
Health Care Provider/Practitioner: PAIGE LORAL ORTIZ

Information about “1205765252” NPI (PAIGE LORAL ORTIZ) exists in 1205765252 in HTML format HTML  |  1205765252 in plain Text format TXT  |  1205765252 in PDF (Portable Document Format) PDF  |  1205765252 in an XML format XML  formats.

NPI Number : 1205765252 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1205765252",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ORTIZ",
    "FirstName": "PAIGE",
    "MiddleName": "LORAL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "183 PADDON PL APT B",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MARINA",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93933-2953",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "831-417-6921",
    "MailingAddressFaxNumber": "831-417-6921",
    "FirstLinePracticeLocationAddress": "134 CENTRAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALINAS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93901-2651",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "831-208-6207",
    "PracticeLocationAddressFaxNumber": "844-209-1290",
    "EnumerationDate": "05/15/2026",
    "LastUpdateDate": "05/15/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "106S00000X",
        "TaxonomyName": "Behavior Technician",
        "LicenseNumber": "W9382231",
        "LicenseNumberStateCode": "CA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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