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General NPI Number Information
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NPI Number | 1194960807
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Entity Type | Organization
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Legal Business Name | KEITH M RAMSEY MEDICAL CORP
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 7863 BROADWAY STE 244
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5553
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Country | US
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Telephone | 773-991-3602
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Fax | 219-962-5058
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Provider Business Mailing Address
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Address Line | 1512 BURR ST
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City | GARY
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State | IN
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Zip | 46406-2369
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Country | US
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Telephone | 219-944-3933
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Fax | 219-944-2473
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Authorized Official
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Title or Position | ACCOUNTANT
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Name | MS. KIM BLACKMON
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Credential |
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Telephone | 219-545-3423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | 01036485A
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License Number State | IN
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