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General NPI Number Information
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NPI Number | 1821595075
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Entity Type | Individual
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Provider Name | MARIE ANGELLI ORTIZ
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Gender | Female
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Dates
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Enumeration Date | 04/12/2018
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 5550 W FLAMINGO RD STE C5
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City | LAS VEGAS
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State | NV
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Zip | 89103-0137
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Country | US
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Telephone | 702-877-2520
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Fax |
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Provider Business Mailing Address
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Address Line | 501 S RANCHO DR STE B10
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City | LAS VEGAS
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State | NV
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Zip | 89106-4830
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Country | US
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Telephone | 702-605-9133
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Fax | 702-678-6159
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-17-31312
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License Number State |
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A4224
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License Number State | NV
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