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General NPI Number Information
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NPI Number | 1982807541
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Entity Type | Individual
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Provider Name | ANA MARIA ORTIZ DDM
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 1497 FOREST HILL BLVD SUITE 4B
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City | WEST PALM BEACH
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State | FL
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Zip | 33406-6052
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Country | US
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Telephone | 561-964-4699
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Fax | 561-965-8437
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Provider Business Mailing Address
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Address Line | 21251 SW 88TH PL
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City | MIAMI
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State | FL
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Zip | 33189-3791
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Country | US
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Telephone | 305-233-8183
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Fax | 305-971-4164
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 17095
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License Number State | FL
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