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General NPI Number Information
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NPI Number | 1295181758
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Entity Type | Individual
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Provider Name | JOHN RAMOS PTA
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Gender | Male
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Dates
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Enumeration Date | 05/13/2016
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Last Update Date | 05/13/2016
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Provider Practice Location Address
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Address Line | 5300 WOODMERE DR SUITE 105
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City | BAKERSFIELD
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State | CA
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Zip | 93313-2796
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Country | US
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Telephone | 562-277-8017
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Fax |
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Provider Business Mailing Address
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Address Line | 10215 TUNGSTEN ST
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City | BAKERSFIELD
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State | CA
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Zip | 93311-9519
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | AT8350
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License Number State | CA
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