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General NPI Number Information
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NPI Number | 1669957528
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Entity Type | Organization
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Legal Business Name | DR. JOSE L. ORTEGA, HEMATOLOGY AND ONCOLOGY GROUP PSC
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Dates
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Enumeration Date | 09/26/2018
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Last Update Date | 12/08/2018
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Provider Practice Location Address
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Address Line | AE1101 LA VILLA GARDEN APT
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City | GUAYNABO
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State | PR
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Zip | 00971
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Country | US
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Telephone | 787-722-9030
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Fax | 787-722-9049
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Provider Business Mailing Address
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Address Line | DR JOSE LUIS ORTEGA SANCHEZ 1353 AVENIDA LUIS VIGOREAUX PMB 178
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City | GUAYNABO
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State | PR
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Zip | 00966
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Country | US
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Telephone | 787-722-9030
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Fax | 787-722-9049
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Authorized Official
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Title or Position | MEDICAL BILLER
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Name | MRS. MARISOL CRUZ
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Credential |
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Telephone | 787-312-2985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State |
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