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General NPI Number Information
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NPI Number | 1619368313
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Entity Type | Individual
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Provider Name | ELAINE RIEFKOHL ORTIZ MD
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Gender | Female
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Dates
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Enumeration Date | 02/17/2015
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 4730 N HABANA AVE STE 101
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City | TAMPA
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State | FL
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Zip | 33614-7165
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Country | US
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Telephone | 813-955-4289
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Fax | 813-537-1034
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Provider Business Mailing Address
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Address Line | 3730 TABS DR
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City | UNIONTOWN
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State | OH
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Zip | 44685-9562
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Country | US
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Telephone | 330-563-0618
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Fax | 330-563-0604
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036164232
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 130887
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME137283
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 0101266870
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License Number State | VA
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