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General NPI Number Information
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NPI Number | 1063167484
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Entity Type | Organization
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Legal Business Name | MIRIAM RAMIREZ L.L.C
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/14/2022
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Provider Practice Location Address
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Address Line | 3 BROADWAY
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City | HAVERSTRAW
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State | NY
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Zip | 10927-1605
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Country | US
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Telephone | 845-947-8353
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Fax | 347-657-1926
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Provider Business Mailing Address
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Address Line | 1727 WHITE PLAINS RD
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City | BRONX
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State | NY
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Zip | 10462-3802
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Country | US
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Telephone | 845-947-8353
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | MIRIAM RAMIREZ
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Credential | DDS
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Telephone | 917-692-9227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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