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General NPI Number Information
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NPI Number | 1396917902
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Entity Type | Organization
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Legal Business Name | NYRMA N. ORTIZ P.A.
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Dates
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Enumeration Date | 03/24/2008
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Last Update Date | 03/01/2012
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Provider Practice Location Address
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Address Line | 5884 NW 54TH CIR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3522
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Country | US
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Telephone | 954-227-8559
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Fax | 954-227-8559
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Provider Business Mailing Address
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Address Line | 5884 NW 54TH CIR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-3522
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Country | US
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Telephone | 954-227-8559
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Fax | 954-227-8559
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NYRMA NOEMI ORTIZ
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Credential | M.D.
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Telephone | 954-227-8559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ME0072074
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License Number State | FL
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