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General NPI Number Information
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NPI Number | 1992173058
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Entity Type | Individual
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Provider Name | ERICK ORTIZ R.T.
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Gender | Male
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Dates
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Enumeration Date | 09/07/2015
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Last Update Date | 09/07/2015
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Provider Practice Location Address
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Address Line | ANGEL G MARTINEZ STREET 3
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City | SABANA GRANDE
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State | PUERTO RICO
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Zip | 00637
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Country | UM
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Telephone | 787-429-9834
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Fax |
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Provider Business Mailing Address
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Address Line | 49 CALLE LUIS MUNOZ RIVERA
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City | SABANA GRANDE
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State | PR
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Zip | 00637-1770
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Country | US
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Telephone | 787-429-9834
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 7142
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License Number State | PR
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