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General NPI Number Information
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NPI Number | 1235045642
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Entity Type | Individual
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Provider Name | PATRICIA ORTEGA
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Gender | Female
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 6098 REYES ADOBE RD
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City | AGOURA HILLS
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State | CA
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Zip | 91301-2105
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Country | US
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Telephone | 818-597-2153
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Fax |
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Provider Business Mailing Address
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Address Line | 3051 VILLAGE AT THE PARK DR APT 219
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City | CAMARILLO
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State | CA
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Zip | 93012-7864
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Country | US
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Telephone | 559-444-3032
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 250186578
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License Number State | CA
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