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General NPI Number Information
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NPI Number | 1316600299
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Entity Type | Organization
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Legal Business Name | DEDICATED PRIMARY CARE, PLLC
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 419 NE 36TH AVE
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City | OCALA
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State | FL
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Zip | 34470-1301
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Country | US
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Telephone | 352-577-5755
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Fax |
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Provider Business Mailing Address
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Address Line | 3035 SE MARICAMP RD # 104-244
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City | OCALA
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State | FL
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Zip | 34471-6201
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Country | US
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Telephone | 352-577-5755
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Fax |
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Authorized Official
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Title or Position | APRN
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Name | YASMIN RAMASCO
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Credential |
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Telephone | 352-362-0550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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