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General NPI Number Information
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NPI Number | 1568428373
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Entity Type | Individual
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Provider Name | TINA LOUISE ORTIZ CPNP
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Gender | Female
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Dates
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Enumeration Date | 04/21/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE NATIONAL NAVAL MEDICAL CENTER
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City | BETHESDA
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State | MD
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Zip | 20889
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Country | US
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Telephone | 301-295-5200
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Fax | 301-295-5928
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Provider Business Mailing Address
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Address Line | 6464 SUTCLIFFE DRIVE
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City | ALEXANDRIA
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State | VA
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Zip | 22315
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Country | US
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Telephone | 703-971-4989
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Fax | 202-762-1705
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN150332NP
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | RN1004813ARNP
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP2168922
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License Number State | FL
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