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General NPI Number Information
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NPI Number | 1609246685
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Entity Type | Individual
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Provider Name | ANA ROSA ORTIZ H.I.S.
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Gender | Female
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Dates
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Enumeration Date | 10/02/2015
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Last Update Date | 10/02/2015
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Provider Practice Location Address
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Address Line | 6120 E MOCKINGBIRD LN
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City | DALLAS
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State | TX
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Zip | 75214-2601
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Country | US
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Telephone | 214-821-3780
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Fax | 214-821-3781
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Provider Business Mailing Address
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Address Line | 6120 E MOCKINGBIRD LN
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City | DALLAS
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State | TX
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Zip | 75214-2601
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Country | US
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Telephone | 214-821-3780
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Fax | 214-821-3781
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 80548
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License Number State | TX
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