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General NPI Number Information
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NPI Number | 1043310071
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Entity Type | Organization
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Legal Business Name | THOMAS D RAMAGE MD PA
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 12/27/2007
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Provider Practice Location Address
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Address Line | 313 W COUNTRY CLUB RD STE 3
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City | ROSWELL
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State | NM
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Zip | 88201-5804
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Country | US
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Telephone | 505-623-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 313 W COUNTRY CLUB RD STE 3
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City | ROSWELL
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State | NM
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Zip | 88201-5804
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Country | US
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Telephone | 505-623-2828
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. THOMAS D RAMAGE
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Credential | MD
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Telephone | 505-623-2828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 77-235
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License Number State | NM
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