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General NPI Number Information
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NPI Number | 1346338175
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Entity Type | Individual
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Provider Name | MAURICIO RAMIREZ LCSW
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 2507 CALLAWAY RD STE 101
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City | TALLAHASSEE
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State | FL
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Zip | 32303-5268
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Country | US
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Telephone | 850-644-6543
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Fax |
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Provider Business Mailing Address
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Address Line | 2507 CALLAWAY RD
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City | TALLAHASSEE
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State | FL
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Zip | 32303-5267
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Country | US
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Telephone | 850-644-5973
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Fax | 850-848-4400
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | SW 4659
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License Number State | FL
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