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General NPI Number Information
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NPI Number | 1801149042
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Entity Type | Individual
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Provider Name | ANA ISABEL ORTEGA BCBA
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Gender | Female
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 01/13/2014
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Provider Practice Location Address
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Address Line | 20627 SADDLE CP
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2088
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Country | US
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Telephone | 915-497-3598
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Fax | 866-811-2590
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Provider Business Mailing Address
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Address Line | 20627 SADDLE CP
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City | SAN ANTONIO
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State | TX
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Zip | 78259-2088
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Country | US
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Telephone | 915-497-3598
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Fax | 866-811-2590
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-12-12352
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License Number State | TX
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