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General NPI Number Information
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NPI Number | 1265795108
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Entity Type | Individual
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Provider Name | MR. OLIVER RAMIRO
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Gender | Male
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Dates
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Enumeration Date | 06/15/2012
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Last Update Date | 06/15/2012
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Provider Practice Location Address
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Address Line | 2100 MANCHESTER RD STE. 615, BLDG A
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City | WHEATON
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State | IL
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Zip | 60187-4579
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Country | US
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Telephone | 630-614-7310
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Fax |
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Provider Business Mailing Address
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Address Line | 112 HARDING CT
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City | NORTH AURORA
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State | IL
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Zip | 60542-9132
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Country | US
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Telephone | 630-487-7592
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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 | 246W00000X
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Taxonomy Name | Cardiology Technician
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License Number |
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License Number State |
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