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General NPI Number Information
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NPI Number | 1326917691
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Entity Type | Individual
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Provider Name | ANGEL ORTEGA
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Gender | Male
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 378 HILLSBORO TECHNOLOGY DR
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City | DEERFIELD BEACH
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State | FL
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Zip | 33441-1836
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Country | US
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Telephone | 954-449-0850
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Fax |
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Provider Business Mailing Address
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Address Line | 8852 W MCNAB RD APT 203
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City | TAMARAC
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State | FL
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Zip | 33321-3652
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Country | US
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Telephone | 850-612-5011
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State | FL
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