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General NPI Number Information
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NPI Number | 1144561069
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Entity Type | Individual
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Provider Name | MR. RAMON GABRIEL ESQUIBEL
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Gender | Male
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Dates
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Enumeration Date | 03/04/2013
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Last Update Date | 03/04/2013
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Provider Practice Location Address
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Address Line | 2810 HOT SPRINGS BLVD
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City | LAS VEGAS
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State | NM
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Zip | 87701-4119
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Country | US
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Telephone | 505-304-0098
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Fax | 505-454-4832
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Provider Business Mailing Address
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Address Line | HC 69 BOX 3001
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City | ROCIADA
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State | NM
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Zip | 87742-9710
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Country | US
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Telephone | 505-454-4832
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Fax | 505-454-4832
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 6911
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License Number State | NM
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