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General NPI Number Information
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NPI Number | 1841117652
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Entity Type | Individual
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Provider Name | ISAAC ORTIZ
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Gender | Male
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 600 COOPER DR STE 110
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City | WYLIE
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State | TX
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Zip | 75098-3996
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Country | US
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Telephone | 972-928-7967
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Fax |
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Provider Business Mailing Address
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Address Line | 914 DAYFLOWER CT
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City | LAVON
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State | TX
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Zip | 75166-2246
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Country | US
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Telephone | 469-861-7581
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-25-499537
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License Number State | TX
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