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General NPI Number Information
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NPI Number | 1609616234
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Entity Type | Individual
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Provider Name | CAMILA LORENA IRIZARRY PORRATA DC
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Gender | Female
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 5367 CONROY RD STE 300
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City | ORLANDO
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State | FL
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Zip | 32811-3560
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Country | US
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Telephone | 407-203-2061
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Fax |
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Provider Business Mailing Address
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Address Line | 3230 SOLSTICE DR APT 106
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City | KISSIMMEE
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State | FL
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Zip | 34746-1743
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Country | US
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Telephone | 787-930-8331
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH15007
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License Number State | FL
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