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General NPI Number Information
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NPI Number | 1861351850
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Entity Type | Individual
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Provider Name | SUSANNAH ORTIZ
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 101 SOUTHWESTERN BLVD STE 105
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City | SUGAR LAND
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State | TX
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Zip | 77478-3767
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Country | US
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Telephone | 281-903-5353
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Fax |
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Provider Business Mailing Address
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Address Line | 6027 LYMBAR DR
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City | HOUSTON
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State | TX
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Zip | 77096-4712
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Country | US
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Telephone | 713-231-7706
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 111967
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License Number State | TX
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