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General NPI Number Information
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NPI Number | 1306306857
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Entity Type | Individual
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Provider Name | CHRISTIAN JAIME RAMIREZ HARO MD
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Gender | Male
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Dates
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Enumeration Date | 03/21/2019
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 3420 COLLEGE AVE
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City | SAN DIEGO
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State | CA
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Zip | 92115-7134
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Country | US
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Telephone | 619-515-2445
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Fax |
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Provider Business Mailing Address
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Address Line | 823 GATEWAY CENTER WAY
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City | SAN DIEGO
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State | CA
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Zip | 92102-4541
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Country | US
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Telephone | 619-515-2300
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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 | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number | A179256
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 318524
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | A179256
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License Number State | CA
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