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General NPI Number Information
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NPI Number | 1376925198
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Entity Type | Individual
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Provider Name | SEBASTIAN RAMOS
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Gender | Male
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Dates
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Enumeration Date | 06/29/2015
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Last Update Date | 05/26/2022
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Provider Practice Location Address
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Address Line | 101 DUDLEY ST
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City | PROVIDENCE
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State | RI
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Zip | 02905-2401
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Country | US
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Telephone | 401-274-1122
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Fax |
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Provider Business Mailing Address
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Address Line | 101 DUDLEY ST
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City | PROVIDENCE
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State | RI
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Zip | 02905-2401
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Country | US
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Telephone | 401-274-1122
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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 | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number | MD16716
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | LP03476
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License Number State | RI
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Taxonomy #3
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number | MD16716
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License Number State | RI
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