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General NPI Number Information
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NPI Number | 1669839528
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Entity Type | Individual
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Provider Name | LIZBETH M ORTEGA ORTEGA MSPT
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Gender | Female
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Dates
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Enumeration Date | 01/24/2016
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 260 CALLE 54 SE URB LA RIVIERA
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City | SAN JUAN
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State | PR
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Zip | 00929
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Country | US
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Telephone | 787-999-5538
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Fax |
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Provider Business Mailing Address
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Address Line | HC 2 BOX 7077
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City | CIALES
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State | PR
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Zip | 00638-9507
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Country | US
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Telephone | 787-346-0380
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy
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License Number | 4535
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License Number State | PR
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