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General NPI Number Information
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NPI Number | 1063934396
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Entity Type | Individual
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Provider Name | JOSE MARIA RAMOS TOLEDO DDS, MS, PGD
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Gender | Male
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Dates
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Enumeration Date | 07/07/2017
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 2790 NE 106TH AVE STE A
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City | HILLSBORO
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State | OR
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Zip | 97124-7449
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Country | US
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Telephone | 503-844-0700
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Fax | 503-844-0721
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Provider Business Mailing Address
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Address Line | 346 SUMMIT VIEW AVE SE
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City | SALEM
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State | OR
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Zip | 97306-3001
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Country | US
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Telephone | 734-881-2170
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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 | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DE61490753
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | D12024
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License Number State | OR
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