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General NPI Number Information
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NPI Number | 1659063980
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Entity Type | Individual
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Provider Name | DANIELA ORTIZ DDS
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Gender | Female
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 12501 E LINCOLN AVE UNIT 102
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City | ENGLEWOOD
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State | CO
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Zip | 80112-4753
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Country | US
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Telephone | 720-880-1202
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Fax |
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Provider Business Mailing Address
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Address Line | 13253 E 13TH PL APT S108
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City | AURORA
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State | CO
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Zip | 80011-6600
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Country | US
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Telephone | 305-302-0488
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 00205608
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License Number State | CO
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