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General NPI Number Information
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NPI Number | 1235624883
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Entity Type | Individual
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Provider Name | STEVEN J. ORTIZ PHARM D. RPH.
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Gender | Male
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 06/26/2018
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Provider Practice Location Address
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Address Line | 7945 BIG BEND BLVD
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City | WEBSTER GROVES
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State | MO
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Zip | 63119-2703
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Country | US
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Telephone | 314-962-1065
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Fax | 314-962-9215
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Provider Business Mailing Address
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Address Line | 6509 NASHVILLE AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63139-3426
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Country | US
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Telephone | 201-232-7688
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2018804881
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License Number State | MO
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