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General NPI Number Information
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NPI Number | 1730309659
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Entity Type | Individual
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Provider Name | MS. ILEANA L. ORTIZ
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | CARR. #2 KM 39.5 BO. ALGARROBO
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City | VEGA BAJA
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State | PR
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Zip | 00693
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Country | US
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Telephone | 787-858-1580
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Fax | 787-858-2385
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Provider Business Mailing Address
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Address Line | HC 83 BOX 7282
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City | VEGA ALTA
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State | PR
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Zip | 00692-9213
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 2828
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License Number State | PR
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