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General NPI Number Information
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NPI Number | 1487048336
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Entity Type | Individual
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Provider Name | NATHAN L ORTIZ AU.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2015
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Last Update Date | 10/17/2024
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Provider Practice Location Address
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Address Line | 5101 MEDICAL DR RM 234
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City | SAN ANTONIO
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State | TX
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Zip | 78229-4801
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Country | US
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Telephone | 210-695-4708
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Fax | 210-695-4706
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Provider Business Mailing Address
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Address Line | 170 BABCOCK RD
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City | SAN ANTONIO
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State | TX
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Zip | 78201-3806
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Country | US
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Telephone | 210-695-4708
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Fax | 210-695-4706
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 2973
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 80971
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80971
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License Number State | TX
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