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General NPI Number Information
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NPI Number | 1033453238
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Entity Type | Organization
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Legal Business Name | CORINA RAMIREZ, DDS, INC
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Dates
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Enumeration Date | 11/12/2012
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Last Update Date | 11/12/2012
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Provider Practice Location Address
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Address Line | 15634 WHITTWOOD LN
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City | WHITTIER
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State | CA
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Zip | 90603-2324
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Country | US
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Telephone | 323-564-2444
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Fax | 323-923-1088
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Provider Business Mailing Address
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Address Line | 4444 TWEEDY BLVD
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City | SOUTH GATE
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State | CA
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Zip | 90280-6304
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Country | US
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Telephone | 323-561-2444
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Fax | 323-923-1088
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Authorized Official
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Title or Position | OWNER
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Name | DR. CORINA RAMIREZ
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Credential | DDS
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Telephone | 323-987-2175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 52676
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License Number State | CA
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