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General NPI Number Information
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NPI Number | 1366267114
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Entity Type | Individual
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Provider Name | KAREN CANDACE MARIE ORTIZ SUD COUNSELOR
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 1334 POST AVE
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City | TORRANCE
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State | CA
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Zip | 90501-2620
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Country | US
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Telephone | 310-328-1587
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Fax |
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Provider Business Mailing Address
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Address Line | 2867 W 235TH ST APT 4
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City | TORRANCE
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State | CA
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Zip | 90505-4137
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Country | US
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Telephone | 510-815-0067
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 14072
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License Number State | CA
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