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General NPI Number Information
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NPI Number | 1255674792
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Entity Type | Individual
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Provider Name | ADRIANA GABRIELA RAMIREZ MD MPH
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Gender | Female
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 35 PARK ST
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City | NEW HAVEN
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State | CT
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Zip | 06519-1110
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Country | US
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Telephone | 864-650-2973
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Fax |
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Provider Business Mailing Address
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Address Line | 1875 RIDGEMONT LN
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City | DECATUR
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State | GA
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Zip | 30033-4051
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Country | US
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Telephone | 864-650-2973
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101271677
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 91634
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 75623
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License Number State | CT
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