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General NPI Number Information
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NPI Number | 1174751085
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Entity Type | Individual
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Provider Name | JEAN M RAMOS APN, WHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/30/2009
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Last Update Date | 09/25/2009
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Provider Practice Location Address
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Address Line | 2310 YORK ST STE 4A
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City | BLUE ISLAND
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State | IL
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Zip | 60406-2411
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Country | US
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Telephone | 708-489-7940
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Fax | 708-489-7946
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Provider Business Mailing Address
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Address Line | 2310 YORK ST STE 3C
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City | BLUE ISLAND
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State | IL
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Zip | 60406-2411
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Country | US
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Telephone | 708-824-4812
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Fax | 708-489-7946
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 209.007421
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License Number State | IL
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