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General NPI Number Information
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NPI Number | 1720962939
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Entity Type | Individual
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Provider Name | ADARA CAROLINA ORTIZ PA
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Gender | Female
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Dates
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Enumeration Date | 08/01/2025
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | PO BOX 51431
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City | TOA BAJA
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State | PR
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Zip | 00950-1431
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Country | US
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Telephone | 787-523-3735
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Fax |
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Provider Business Mailing Address
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Address Line | 184A CALLE SEGUNDA BO. COQUI
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City | AGUIRRE
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State | PR
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Zip | 00704
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Country | US
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Telephone | 787-677-3079
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001258
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License Number State | PR
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