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General NPI Number Information
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NPI Number | 1174873244
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Entity Type | Organization
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Legal Business Name | LUIS G RAMIREZ M D P A
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Dates
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Enumeration Date | 09/14/2012
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Last Update Date | 09/14/2012
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Provider Practice Location Address
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Address Line | 8200 SOUTHWEST 117 AVENUE SUITE 104-A
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City | MIAMI
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State | FL
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Zip | 33183-4825
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Country | US
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Telephone | 305-403-0131
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Fax | 305-403-0767
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Provider Business Mailing Address
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Address Line | 8200 SOUTHWEST 117 AVENUE SUITE 104-A
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City | MIAMI
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State | FL
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Zip | 33183-4825
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Country | US
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Telephone | 305-403-0131
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Fax | 305-403-0767
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Authorized Official
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Title or Position | OWNER
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Name | DR. LUIS GUILLERMO RAMIREZ BRACHO
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Credential | M.D.
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Telephone | 305-403-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0005X
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Taxonomy Name | Sports Medicine (Orthopaedic Surgery) Physician
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License Number | ME107667
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | ME107667
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License Number State | FL
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