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General NPI Number Information
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NPI Number | 1194273383
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Entity Type | Individual
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Provider Name | ANTHONY DAVID RAMOS PEER SPECIALIST
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Gender | Male
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Dates
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Enumeration Date | 09/15/2016
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Last Update Date | 09/15/2016
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Provider Practice Location Address
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Address Line | 11301 WILSHIRE BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90073-1003
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Country | US
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Telephone | 213-330-9318
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Fax | 310-268-4562
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Provider Business Mailing Address
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Address Line | 3629 TOPAZ LN
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City | LANCASTER
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State | CA
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Zip | 93535-5934
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Country | US
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Telephone | 818-322-6406
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State | CA
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