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General NPI Number Information
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NPI Number | 1952788499
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Entity Type | Organization
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Legal Business Name | ORTEGA MEDICAL CLINIC PLLC
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 3313 ORLANDO ST
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City | HOUSTON
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State | TX
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Zip | 77093-4854
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Country | US
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Telephone | 713-699-9177
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Fax | 713-699-4538
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Provider Business Mailing Address
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Address Line | 3313 ORLANDO ST
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City | HOUSTON
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State | TX
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Zip | 77093-4854
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Country | US
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Telephone | 713-699-9177
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Fax | 713-699-4538
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MISS MAGGIE ORTEGA
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Credential |
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Telephone | 713-699-9177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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