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General NPI Number Information
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NPI Number | 1558273201
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Entity Type | Individual
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Provider Name | ALFREDO E ORTIZ
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Gender | Male
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 10208 S INDIANAPOLIS AVE # 301
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City | CHICAGO
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State | IL
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Zip | 60617-6033
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Country | US
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Telephone | 866-413-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 19707 CASA BROOK LN
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City | HOCKLEY
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State | TX
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Zip | 77447-2371
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Country | US
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Telephone | 866-413-1988
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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