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General NPI Number Information
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NPI Number | 1235185026
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Entity Type | Individual
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Provider Name | RAMON EDUARDO MENDEZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/25/2006
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Last Update Date | 09/07/2016
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Provider Practice Location Address
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Address Line | 2296 OPITZ BLVD SUITE 260
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City | WOODBRIDGE
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State | VA
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Zip | 22191-3300
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Country | US
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Telephone | 571-285-2614
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Fax | 571-552-4111
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Provider Business Mailing Address
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Address Line | 9109 OAK CHASE CT
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City | FAIRFAX STATION
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State | VA
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Zip | 22039-3333
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Country | US
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Telephone | 571-212-2763
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Fax | 571-552-4111
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 01011045435
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License Number State | VA
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