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General NPI Number Information
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NPI Number | 1194720045
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Entity Type | Individual
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Provider Name | LADY-JEAN M RAMSEY DMD
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Gender | Female
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Dates
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Enumeration Date | 06/16/2005
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 9095 N HESS ST STE 201
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City | HAYDEN
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State | ID
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Zip | 83835-9827
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Country | US
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Telephone | 208-772-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 9095 N HESS ST STE 201
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City | HAYDEN
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State | ID
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Zip | 83835-9827
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Country | US
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Telephone | 208-772-4500
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D5329
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License Number State | ID
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | D7608
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License Number State | OR
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