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General NPI Number Information
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NPI Number | 1902127467
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Entity Type | Individual
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Provider Name | SANDRA ORTIZ-GIL PH.D
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Gender | Female
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Dates
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Enumeration Date | 06/18/2010
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Last Update Date | 11/08/2023
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Provider Practice Location Address
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Address Line | CALLE ANTONIO JIMENEZ LANDRAU #90
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City | CAROLINA
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State | PR
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Zip | 00979
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Country | US
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Telephone | 787-944-4411
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Fax |
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Provider Business Mailing Address
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Address Line | CALLE LOS ASTROS #62 URB. LOS ANGELES
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City | CAROLINA
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State | PR
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Zip | 00979-1727
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Country | US
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Telephone | 787-618-8020
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 3335
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3335
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License Number State | PR
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