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General NPI Number Information
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NPI Number | 1700449618
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Entity Type | Individual
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Provider Name | RYAN ORTEZ MD
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Gender | Male
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Dates
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Enumeration Date | 04/16/2019
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 10800 E GEDDES AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3895
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Country | US
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Telephone | 303-761-9190
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Fax |
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Provider Business Mailing Address
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Address Line | 10800 E GEDDES AVE STE 300
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City | ENGLEWOOD
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State | CO
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Zip | 80112-3895
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Country | US
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Telephone | 303-761-9190
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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 | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | D91606
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085N0700X
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Taxonomy Name | Neuroradiology Physician
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License Number | DR.0074534
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License Number State | CO
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