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General NPI Number Information
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NPI Number | 1053427294
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Entity Type | Individual
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Provider Name | NAGLA A RAMADAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HOAG MEMORIAL HOSPITAL ONE HOAG DRIVE
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City | NEWPORT BEACH
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State | CA
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Zip | 92658
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Country | US
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Telephone | 949-764-8233
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Fax | 949-764-5208
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Provider Business Mailing Address
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Address Line | 2412 WINDWARD LN
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-3718
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Country | US
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Telephone | 949-646-2607
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | A43529
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License Number State | CA
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