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General NPI Number Information
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NPI Number | 1437067683
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Entity Type | Individual
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Provider Name | GENESIS MICHELLE ORTIZ
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Gender | Female
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Dates
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Enumeration Date | 08/29/2026
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 17 AVE UNIV INTERAMERICANA
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City | SAN GERMAN
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State | PR
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Zip | 00683-3922
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Country | US
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Telephone | 787-892-3333
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 15003
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City | SAN GERMAN
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State | PR
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Zip | 00683-9469
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Country | US
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Telephone | 939-305-0434
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 9121
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License Number State | PR
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