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General NPI Number Information
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NPI Number | 1346883949
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Entity Type | Individual
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Provider Name | NILDA LIZ RAMOS GONZALEZ DC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2019
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Last Update Date | 10/26/2019
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Provider Practice Location Address
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Address Line | 6105 FAWCETT AVE
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City | TACOMA
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State | WA
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Zip | 98408-6329
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Country | US
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Telephone | 787-449-9486
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Fax |
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Provider Business Mailing Address
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Address Line | 6105 FAWCETT AVE
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City | TACOMA
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State | WA
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Zip | 98408-6329
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Country | US
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Telephone | 787-449-9486
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CHIR.CH.60951602
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License Number State | WA
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