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General NPI Number Information
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NPI Number | 1215508759
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Entity Type | Individual
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Provider Name | AMANDA CONSTANTINO RAMIREZ-SALAGAN NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/06/2021
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 328 S 1ST ST STE D
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City | ALHAMBRA
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State | CA
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Zip | 91801-3790
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Country | US
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Telephone | 833-476-7377
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Fax |
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Provider Business Mailing Address
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Address Line | 328 S 1ST ST STE D
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City | ALHAMBRA
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State | CA
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Zip | 91801-3790
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95017556
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License Number State | CA
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