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General NPI Number Information
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NPI Number | 1952304859
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Entity Type | Individual
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Provider Name | XAVIER GUILLERMO ORTIZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 05/12/2023
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Provider Practice Location Address
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Address Line | 975 SERENO DR
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City | VALLEJO
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State | CA
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Zip | 94589-2441
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Country | US
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Telephone | 707-914-6399
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Fax |
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Provider Business Mailing Address
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Address Line | 534 E SPRING ST
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City | NAPA
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State | CA
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Zip | 94559-1537
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Country | US
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Telephone | 513-470-9394
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | G148485
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License Number State | CA
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