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General NPI Number Information
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NPI Number | 1902786114
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Entity Type | Individual
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Provider Name | ALEXANDRA ORTEGANO
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Gender | Female
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Dates
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Enumeration Date | 09/08/2025
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 7301 N UNIVERSITY DR STE 105
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City | TAMARAC
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State | FL
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Zip | 33321-2909
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Country | US
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Telephone | 954-748-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 663 VISTA ISLES DR APT 1711
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City | PLANTATION
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State | FL
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Zip | 33325-6128
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Country | US
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Telephone | 954-588-1027
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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