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General NPI Number Information
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NPI Number | 1265063572
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Entity Type | Individual
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Provider Name | EMILISSE FRANCHESKA RAMOS LND
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Gender | Female
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Dates
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Enumeration Date | 01/27/2020
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Last Update Date | 01/04/2021
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Provider Practice Location Address
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Address Line | KM 13., 3 CALLE 4
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City | CAROLINA
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-993-4990
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Fax |
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Provider Business Mailing Address
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Address Line | URB. LOS DOMINICOS CALLE SAN AGUSTIN B43
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-585-6669
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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 | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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License Number | 2122
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License Number State | PR
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