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General NPI Number Information
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NPI Number | 1811237456
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Entity Type | Individual
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Provider Name | FRANKLIN ALEXANDER ORTIZ DPT
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Gender | Male
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Dates
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Enumeration Date | 02/19/2013
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Last Update Date | 10/29/2019
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Provider Practice Location Address
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Address Line | 23456 HAWTHORNE BLVD
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City | TORRANCE
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State | CA
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Zip | 90505-4716
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Country | US
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Telephone | 310-540-7381
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Fax | 310-316-1788
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Provider Business Mailing Address
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Address Line | 10309 SANTA MONICA BLVD STE 200
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City | LOS ANGELES
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State | CA
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Zip | 90025-5007
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Country | US
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Telephone | 310-553-5984
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 39785
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License Number State | CA
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