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General NPI Number Information
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NPI Number | 1083643415
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Entity Type | Individual
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Provider Name | JACQUELYN L RAMIREZ DO
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Gender | Female
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1701 N SENATE BLVD
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-1239
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Country | US
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Telephone | 317-274-0275
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Fax | 317-274-5202
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Provider Business Mailing Address
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Address Line | PO BOX 110429
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City | AURORA
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State | CO
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Zip | 80042-0429
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 5148
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 02007288A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 39690
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License Number State | CO
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