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General NPI Number Information
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NPI Number | 1629865423
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Entity Type | Individual
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Provider Name | VICENT RAFAEL ORTIZ DC
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Gender | Male
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Dates
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Enumeration Date | 04/23/2025
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 1620 N US HIGHWAY 1 STE 5
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City | TEQUESTA
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State | FL
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Zip | 33469-3241
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Country | US
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Telephone | 561-685-4991
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Fax |
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Provider Business Mailing Address
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Address Line | 4220 SAN MARINO BLVD APT 205
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-8635
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Country | US
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Telephone | 561-685-4991
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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 | 15131
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License Number State | FL
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