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General NPI Number Information
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NPI Number | 1427643410
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Entity Type | Individual
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Provider Name | ELIZABETH ORTIZ CRNP
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Gender | Female
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Dates
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Enumeration Date | 03/02/2021
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 419 W REDWOOD ST STE 500
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City | BALTIMORE
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State | MD
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Zip | 21201-7001
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Country | US
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Telephone | 667-214-1300
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Fax | 410-328-2648
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Provider Business Mailing Address
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Address Line | 250 W PRATT ST STE 880
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City | BALTIMORE
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State | MD
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Zip | 21201-6829
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Country | US
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Telephone | 667-214-1302
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Fax | 410-328-1669
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | RN2273958
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License Number State | MA
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