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General NPI Number Information
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NPI Number | 1730011966
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Entity Type | Individual
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Provider Name | ALEXA ANAHI OROZCO
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Gender | Female
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 6035 STERLING CREEK RD # 1
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City | PORTAGE
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State | IN
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Zip | 46368-7752
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Country | US
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Telephone | 219-850-1218
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Fax |
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Provider Business Mailing Address
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Address Line | 2936 GEORGE ST
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City | FRANKLIN PARK
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State | IL
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Zip | 60131-2481
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Country | US
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Telephone | 847-361-5002
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | IL
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