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General NPI Number Information
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NPI Number | 1225702673
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Entity Type | Organization
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Legal Business Name | DIRECT CARE CLINICS US PC
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Dates
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Enumeration Date | 08/08/2021
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Last Update Date | 08/08/2021
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Provider Practice Location Address
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Address Line | 209 E MAIN ST STE 121
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City | BATTLE GROUND
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State | WA
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Zip | 98604-4412
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Country | US
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Telephone | 360-999-5138
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Fax |
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Provider Business Mailing Address
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Address Line | 2370 E 3RD LOOP STE 203
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City | VANCOUVER
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State | WA
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Zip | 98661-7725
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Country | US
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Telephone | 360-999-5138
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DINO WILLIAM RAMZI
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Credential | MD, MPH
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Telephone | 360-999-5138
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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 |
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License Number State |
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