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General NPI Number Information
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NPI Number | 1447141023
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Entity Type | Individual
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Provider Name | ELIZABET AGUILAR ORTIZ
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Gender | Female
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 1150 KING RD #40, 152
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City | SAN JOSE
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State | CA
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Zip | 95122
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Country | US
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Telephone | 916-293-6827
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Fax |
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Provider Business Mailing Address
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Address Line | 3912 GALBRATH DR
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City | NORTH HIGHLANDS
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State | CA
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Zip | 95660-3416
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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