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General NPI Number Information
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NPI Number | 1184795007
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Entity Type | Individual
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Provider Name | JORGE ALBERTO ENRIQUE RAMIREZ AMAYA MD
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Gender | Male
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Dates
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Enumeration Date | 11/13/2006
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Last Update Date | 12/21/2021
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Provider Practice Location Address
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Address Line | 9449 IMPERIAL HWY STE D133
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City | DOWNEY
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State | CA
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Zip | 90242-2814
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Country | US
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Telephone | 562-657-2857
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Fax | 714-281-3637
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Provider Business Mailing Address
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Address Line | 9400 ROSECRANS AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-2246
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Country | US
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Telephone | 323-562-6439
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Fax | 714-281-3637
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A61604
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License Number State | CA
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