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General NPI Number Information
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NPI Number | 1033432273
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Entity Type | Organization
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Legal Business Name | MARK JUDE TRAMO MD APC
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 555 MARIN ST STE 200
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-4105
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Country | US
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Telephone | 805-495-6702
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Fax | 805-495-6195
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Provider Business Mailing Address
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Address Line | 2220 LYNN RD STE 303
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-8003
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Country | US
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Telephone | 805-495-6702
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Fax | 805-495-6195
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Authorized Official
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Title or Position | OWNER
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Name | MARK J TRAMO
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Credential | M.D.
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Telephone | 805-495-6702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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