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General NPI Number Information
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NPI Number | 1356297386
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Entity Type | Individual
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Provider Name | ALAN OMAR ORTIZ DC
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Gender | Male
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Dates
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Enumeration Date | 03/10/2026
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Last Update Date | 03/10/2026
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Provider Practice Location Address
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Address Line | 4200 SOUTH FWY STE 1309
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City | FORT WORTH
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State | TX
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Zip | 76115-1417
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Country | US
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Telephone | 214-942-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 3112 LELA ST
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City | IRVING
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State | TX
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Zip | 75061-6435
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 16826
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License Number State | TX
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