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General NPI Number Information
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NPI Number | 1588848386
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Entity Type | Individual
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Provider Name | CAROLINA YOUNG ORTIZ MD
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Gender | Female
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 07/06/2022
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Provider Practice Location Address
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Address Line | 2590 GOLDEN GATE PKWY STE 104
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City | NAPLES
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State | FL
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Zip | 34105-3209
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Country | US
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Telephone | 239-333-8809
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Fax |
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Provider Business Mailing Address
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Address Line | 2590 GOLDEN GATE PARKWAY SUITE 104
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City | NAPLES
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State | FL
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Zip | 34105
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Country | US
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Telephone | 230-333-8809
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 290973-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME117731
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 148865
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD61096651
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD459430
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0101270807
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N7377
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License Number State | TX
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