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General NPI Number Information
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NPI Number | 1376879858
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Entity Type | Organization
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Legal Business Name | RAMAE AND ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/19/2009
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Last Update Date | 07/02/2012
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Provider Practice Location Address
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Address Line | 3455 HIGHWAY 81
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City | LOGANVILLE
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State | GA
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Zip | 30052-9138
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Country | US
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Telephone | 770-554-1996
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Fax | 770-554-9386
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Provider Business Mailing Address
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Address Line | PO BOX 2450
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City | LOGANVILLE
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State | GA
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Zip | 30052-1950
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Country | US
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Telephone | 770-554-1996
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Fax | 770-554-9386
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MS. MENCY LAO
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Credential |
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Telephone | 770-554-1996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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