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General NPI Number Information
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NPI Number | 1346257490
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Entity Type | Individual
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Provider Name | LUZ S RAMOS-BONNER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 6970 GERMANTOWN AVE
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City | PHILADELPHIA
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State | PA
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Zip | 19119-2114
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Country | US
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Telephone | 215-951-4586
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Fax |
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Provider Business Mailing Address
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Address Line | 326 PALTON RD
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City | BENSALEM
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State | PA
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Zip | 19020-1644
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Country | US
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Telephone | 215-355-5311
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 25MA08127600
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License Number State | NJ
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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 | 25MAO8127600
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License Number State | NJ
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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 | MD431039
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License Number State | PA
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