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General NPI Number Information
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NPI Number | 1447899679
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Entity Type | Individual
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Provider Name | OLIVIA ORTIZ INFANTE FNP
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Gender | Female
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 4815 E HIGHWAY 80
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City | MIDLAND
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State | TX
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Zip | 79706-4475
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Country | US
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Telephone | 432-571-2680
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Fax |
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Provider Business Mailing Address
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Address Line | 4060 FAUDREE DRIVE SUITE 104A #417
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City | ODESSA
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State | TX
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Zip | 79765
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP142742
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP142742
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License Number State | TX
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