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General NPI Number Information
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NPI Number | 1992200505
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Entity Type | Individual
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Provider Name | ROSARIO ORTA
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Gender | Female
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 1266 14TH ST
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City | OAKLAND
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State | CA
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Zip | 94607-2247
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Country | US
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Telephone | 510-273-4700
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Fax |
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Provider Business Mailing Address
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Address Line | 309 ATHERTON AVE
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City | PITTSBURG
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State | CA
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Zip | 94565-4823
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Country | US
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Telephone | 259-665-9530
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 131282
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 131282
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License Number State | CA
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