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General NPI Number Information
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NPI Number | 1225948847
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Entity Type | Individual
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Provider Name | SERGIO ORTUON
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Gender | Male
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 16626 SEA LARK RD
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City | HOUSTON
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State | TX
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Zip | 77062-5819
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Country | US
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Telephone | 832-224-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 5403 ORIOLE ST
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City | HOUSTON
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State | TX
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Zip | 77017-6405
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Country | US
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Telephone |
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT145042
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License Number State | TX
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