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General NPI Number Information
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NPI Number | 1346274982
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Entity Type | Individual
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Provider Name | YAMILLIE S ORTIZ LOPEZ M. D.
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 6150 METROWEST BLVD STE 103
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City | ORLANDO
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State | FL
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Zip | 32835-3290
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Country | US
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Telephone | 407-395-2348
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Fax | 407-395-2349
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Provider Business Mailing Address
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Address Line | 6150 METROWEST BLVD STE 103
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City | ORLANDO
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State | FL
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Zip | 32835-3290
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Country | US
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Telephone | 407-395-2348
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Fax | 407-395-2349
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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 | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 15274
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 15274
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License Number State | PR
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Taxonomy #3
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | ACN698
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License Number State | FL
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