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NPI 1487806097

NPI 1487806097 : MARGARITA ORTIZ HERNANDEZ RPT : VEGA BAJA, PR

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General NPI Number Information
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    NPI Number           |    1487806097
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    Entity Type          |    Individual 
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    Provider Name        |    MARGARITA ORTIZ HERNANDEZ RPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/14/2008
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    Last Update Date     |    07/23/2009
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Provider Practice Location Address
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    Address Line         |    10 CALLE MIGUEL RODRIGUEZ 
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    City                 |    VEGA BAJA
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    State                |    PR
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    Zip                  |    00693-5054
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    Country              |    US
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    Telephone            |    787-858-9374
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    CALLE MIGUEL RODRIGUEZ NUMERO 10 LAS GRANJAS 
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    City                 |    VEGA BAJA
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    State                |    PR
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    Zip                  |    00693
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    Country              |    US
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    Telephone            |    787-858-9374
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1040
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    License Number State |    PR
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