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General NPI Number Information
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NPI Number | 1548426067
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Entity Type | Individual
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Provider Name | FERNANDO ORTIZ-BAEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 509 CALLE LUIS A MORALES ESTANCIAS DEL GOLF CLUB
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City | PONCE
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State | PR
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Zip | 00730-0531
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Country | US
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Telephone | 787-242-5135
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Fax |
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Provider Business Mailing Address
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Address Line | ESTANCIAS DEL GOLF CLUB 509 LUIS A. MORALES
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City | PONCE
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State | PR
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Zip | 00730-0531
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Country | US
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Telephone | 787-242-5135
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 18299
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME112091
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License Number State | FL
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