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General NPI Number Information
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NPI Number | 1316746464
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Entity Type | Individual
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Provider Name | JOSE ANTONIO NICOLAS RAMIREZ 2505-P.A.
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Gender | Male
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | CARR 119 KM 5.7
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City | CAMUY
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State | PR
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Zip | 00627
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Country | US
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Telephone | 178-782-0461
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Fax |
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Provider Business Mailing Address
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Address Line | 535 BROCKWAY AVE
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City | ORLANDO
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State | FL
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Zip | 32807-4825
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Country | US
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Telephone | 724-856-5721
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 2505-P.A.
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License Number State | PR
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