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General NPI Number Information
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NPI Number | 1154885986
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Entity Type | Organization
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Legal Business Name | AUSTIN MEDICAL PARTNERS-IMC LOUIS EALDAMA RAMOS MD PLLC
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 02/01/2019
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Provider Practice Location Address
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Address Line | 1201 W 38TH ST
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City | AUSTIN
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State | TX
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Zip | 78705-1006
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Country | US
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Telephone | 512-640-2691
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Fax | 512-598-8699
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Provider Business Mailing Address
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Address Line | 2604 THOMAS DR
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City | AUSTIN
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State | TX
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Zip | 78703-1641
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Country | US
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Telephone | 512-640-2691
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Fax | 512-598-8699
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Authorized Official
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Title or Position | PRESIDENT, OWNER
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Name | LOUIS E. RAMOS
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Credential | MD
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Telephone | 512-861-5408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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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 |
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License Number State |
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