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General NPI Number Information
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NPI Number | 1841950276
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Entity Type | Organization
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Legal Business Name | NETTER J. ORTIZ MD PLLC
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | 2100 VILLAGE CENTER DR STE F1
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City | BROWNSVILLE
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State | TX
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Zip | 78526-1119
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Country | US
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Telephone | 956-525-7084
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Fax | 956-525-7084
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Provider Business Mailing Address
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Address Line | 2100 VILLAGE CENTER DR STE F1
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City | BROWNSVILLE
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State | TX
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Zip | 78526-1119
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Country | US
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Telephone | 956-525-7084
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Fax | 956-525-7203
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Authorized Official
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Title or Position | SOLE MBR
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Name | DR. NETTER JACOBO ORTIZ
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Credential | MD
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Telephone | 956-525-7084
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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 |
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License Number State | NULL
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