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General NPI Number Information
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NPI Number | 1659883080
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Entity Type | Individual
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Provider Name | KRISTEN MICHELE ORTS MSN, LM, CNM, IBCLC
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Gender | Female
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 4605 MCCLUSKY ROAD
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City | LAFAYETTE
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State | NY
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Zip | 13084-1308
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Country | US
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Telephone | 315-868-1447
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Fax | 315-800-6846
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Provider Business Mailing Address
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Address Line | 4605 MCCLUSKY ROAD
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City | LAFAYETTE
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State | NY
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Zip | 13084-9726
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Country | US
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Telephone | 315-868-1447
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Fax | 315-800-6846
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F346312
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | F001827-1
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License Number State | NY
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