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General NPI Number Information
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NPI Number | 1376066407
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Entity Type | Individual
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Provider Name | REBECCA LEE ORTEGA DDS
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Gender | Female
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 9331 MISSION GORGE RD STE 105
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City | SANTEE
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State | CA
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Zip | 92071-3883
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Country | US
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Telephone | 619-448-2158
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Fax |
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Provider Business Mailing Address
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Address Line | 1829 JEFFREY AVE
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City | ESCONDIDO
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State | CA
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Zip | 92027-4440
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Country | US
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Telephone | 619-278-8030
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 101558
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License Number State | CA
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