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General NPI Number Information
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NPI Number | 1972161990
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Entity Type | Individual
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Provider Name | KARINA ADRIANA ORTIZ DPT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 12/23/2022
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Provider Practice Location Address
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Address Line | 150 MUIR RD
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City | MARTINEZ
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State | CA
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Zip | 94553-4668
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Country | US
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Telephone | 925-372-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 262 LAUREL KNOLL DR
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City | MARTINEZ
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State | CA
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Zip | 94553-3909
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Country | US
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Telephone | 707-339-9030
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT299281
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License Number State | CA
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