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General NPI Number Information
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NPI Number | 1174202576
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Entity Type | Individual
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Provider Name | ROBERTO JOSE RAMIREZ DDS
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Gender | Male
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 4481 LAKE WORTH RD UNIT B
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City | LAKE WORTH
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State | FL
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Zip | 33461-3929
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Country | US
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Telephone | 561-331-3013
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Fax |
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Provider Business Mailing Address
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Address Line | 8245 BUTLER GREENWOOD DR
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-4539
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Country | US
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Telephone | 561-722-5357
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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 | 1223D0001X
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Taxonomy Name | Public Health Dentistry
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License Number | DN28341
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License Number State | FL
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