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General NPI Number Information
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NPI Number | 1093739252
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Entity Type | Individual
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Provider Name | RAMON SERAPIO QUESADA JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 804 CORRIENTE POINT DR
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City | REDWOOD CITY
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State | CA
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Zip | 94065-1285
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Country | US
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Telephone | 650-587-0831
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Fax | 818-898-4451
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Provider Business Mailing Address
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Address Line | 804 CORRIENTE POINT DR
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City | REDWOOD CITY
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State | CA
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Zip | 94065-1285
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Country | US
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Telephone | 650-587-0831
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A025136
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | A25136
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number | A25136
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | A25136
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | A25136
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | A25136
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License Number State | CA
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