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General NPI Number Information
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NPI Number | 1932266624
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Entity Type | Organization
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Legal Business Name | DOS HERMANAS ORTIZ, INC.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 666 PRADA-MACHIN, UNIT 8
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City | LAREDO
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State | TX
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Zip | 78046-8499
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Country | US
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Telephone | 956-717-8614
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Fax | 956-717-8161
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Provider Business Mailing Address
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Address Line | 666 PRADA-MACHIN, UNIT 8
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City | LAREDO
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State | TX
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Zip | 78046-8499
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Country | US
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Telephone | 956-717-8614
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Fax | 956-717-8161
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARY PAT ORTIZ
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Credential | R.N.
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Telephone | 956-717-8614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 118232
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License Number State | TX
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