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General NPI Number Information
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NPI Number | 1083610265
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Entity Type | Individual
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Provider Name | RAMON K DOMINGO MD
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Gender | Male
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Dates
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Enumeration Date | 06/22/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2500 S. HWY 305
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City | MCCAMEY
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State | TX
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Zip | 79752
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Country | US
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Telephone | 432-652-4010
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Fax | 432-652-4013
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Provider Business Mailing Address
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Address Line | PO BOX 1200
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City | MC CAMEY
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State | TX
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Zip | 79752-1200
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Country | US
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Telephone | 432-652-4010
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Fax | 432-652-4013
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E7892
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E7892
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | E7892
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License Number State | TX
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