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General NPI Number Information
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NPI Number | 1396507034
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Entity Type | Individual
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Provider Name | OSCAR ORTIZ III RDH
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Gender | Male
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 1419 E 60TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90001-1216
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Country | US
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Telephone | 562-332-8542
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Fax |
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Provider Business Mailing Address
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Address Line | 503 13TH ST
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City | PASO ROBLES
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State | CA
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Zip | 93446-2226
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Country | US
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Telephone | 562-332-8542
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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 | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number | 35537
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License Number State | CA
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