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General NPI Number Information
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NPI Number | 1992862890
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Entity Type | Organization
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Legal Business Name | ORTIZ MANAGEMENT GROUP INC
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 11/20/2007
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Provider Practice Location Address
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Address Line | 5500 TESORO PLZ
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City | LAREDO
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State | TX
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Zip | 78041-5751
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Country | US
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Telephone | 956-717-8583
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Fax | 956-712-2290
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Provider Business Mailing Address
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Address Line | 5500 TESORO PLZ
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City | LAREDO
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State | TX
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Zip | 78041-5751
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Country | US
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Telephone | 956-717-8583
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Fax | 956-712-2290
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MARY PAT ORTIZ
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Credential | R.N.
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Telephone | 956-717-8583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 006608
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License Number State | TX
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