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General NPI Number Information
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NPI Number | 1063969707
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Entity Type | Organization
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Legal Business Name | MARIO A RAMOS
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 01/19/2017
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Provider Practice Location Address
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Address Line | 25 URB LOS FLAMBOYANES
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City | ANASCO
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State | PR
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Zip | 00610-2105
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Country | US
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Telephone | 787-238-2648
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2111
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City | ANASCO
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State | PR
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Zip | 00610-2111
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Country | US
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Telephone | 787-238-2648
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARIO A RAMOS
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Credential |
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Telephone | 787-238-2648
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | TCAMB739
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License Number State | PR
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