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General NPI Number Information
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NPI Number | 1275664880
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Entity Type | Organization
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Legal Business Name | RENE R RAMIREZ SR
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2704 E GRIFFIN PKWY STE A
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City | MISSION
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State | TX
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Zip | 78572-3306
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Country | US
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Telephone | 956-664-0600
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Fax | 956-664-9552
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Provider Business Mailing Address
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Address Line | 2704 E GRIFFIN PKWY STE A
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City | MISSION
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State | TX
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Zip | 78572-3306
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Country | US
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Telephone | 956-664-0600
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Fax | 956-664-9552
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Authorized Official
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Title or Position | OWNER
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Name | MR. RENE R RAMIREZ SR.
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Credential | MT
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Telephone | 956-664-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | TX
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