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General NPI Number Information
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NPI Number | 1306084264
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Entity Type | Individual
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Provider Name | JOCELYN CORDERO RAMOS NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 01/30/2009
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Last Update Date | 01/30/2009
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Provider Practice Location Address
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Address Line | 288 N IRONWOOD DR STE 105
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City | APACHE JUNCTION
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State | AZ
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Zip | 85220-3830
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Country | US
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Telephone | 480-671-4086
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Fax | 480-671-4105
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Provider Business Mailing Address
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Address Line | 11108 E ASPEN AVE
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City | MESA
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State | AZ
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Zip | 85208-8653
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Country | US
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Telephone | 602-748-7915
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | AP3263
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License Number State | AZ
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