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General NPI Number Information
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NPI Number | 1841630811
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Entity Type | Individual
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Provider Name | LORIMAR ORTIZ ORTIZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/04/2013
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Last Update Date | 06/19/2023
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Provider Practice Location Address
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Address Line | 1123 AVE HOSTOS
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City | PONCE
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State | PR
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Zip | 00717-0952
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Country | US
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Telephone | 787-416-1010
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Fax | 364-202-9215
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Provider Business Mailing Address
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Address Line | PO BOX 7
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City | COAMO
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State | PR
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Zip | 00769-0007
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Country | US
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Telephone | 787-416-1010
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Fax | 364-202-9215
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 19,071
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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