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NPI 1730001975

NPI 1730001975 : TERESA RINCON ORTEGA RN : PHOENIX, AZ

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General NPI Number Information
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    NPI Number           |    1730001975
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    Entity Type          |    Individual 
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    Provider Name        |    TERESA RINCON ORTEGA RN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2026
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    Last Update Date     |    07/29/2026
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Provider Practice Location Address
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    Address Line         |    650 E INDIAN SCHOOL RD 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85012-1839
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    Country              |    US
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    Telephone            |    602-277-5551
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4701 N 48TH DR 
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    City                 |    PHOENIX
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    State                |    AZ
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    Zip                  |    85031-1305
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    Country              |    US
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    Telephone            |    
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    9401107
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    5191195
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    282211
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    License Number State |    AZ
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