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General NPI Number Information
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NPI Number | 1659510964
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Entity Type | Organization
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Legal Business Name | TULIO L ORTIZ ROBLES
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Dates
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Enumeration Date | 02/10/2009
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Last Update Date | 09/21/2009
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Provider Practice Location Address
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Address Line | 1173 AVE DOS PALMAS LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00949-4102
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Country | US
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Telephone | 787-795-2055
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Fax | 787-261-1788
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Provider Business Mailing Address
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Address Line | PO BOX 50353 LEVITTOWN
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City | TOA BAJA
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State | PR
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Zip | 00950-0353
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Country | US
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Telephone | 787-795-2055
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Fax | 787-261-1788
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Authorized Official
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Title or Position | RADIOLOGIST
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Name | TULIO LUIS ORTIZ
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Credential | M.D.
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Telephone | 787-795-2055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State | PR
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