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General NPI Number Information
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NPI Number | 1184715641
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Entity Type | Individual
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Provider Name | RAMON PLA VARONA JR. MD
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 06/25/2019
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Provider Practice Location Address
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Address Line | 10688 LORAIN AVE
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City | CLEVELAND
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State | OH
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Zip | 44111-5411
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Country | US
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Telephone | 216-682-7703
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Fax | 216-236-7768
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Provider Business Mailing Address
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Address Line | 30 W MONROE ST STE 1200
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City | CHICAGO
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State | IL
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Zip | 60603-2420
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Country | US
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Telephone | 312-733-9730
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Fax | 773-866-8014
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 40450
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License Number State | IA
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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 | 036 079717
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036 074432
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.134915
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License Number State | OH
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