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NPI 1386534907

NPI 1386534907 : RUBEN ANTONIO RAMIREZ : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1386534907
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    Entity Type          |    Individual 
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    Provider Name        |    RUBEN ANTONIO RAMIREZ
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/07/2025
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    Last Update Date     |    07/07/2025
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Provider Practice Location Address
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    Address Line         |    4345 N ANNA ST 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93726-3204
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    Country              |    US
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    Telephone            |    209-276-6844
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4345 N ANNA ST 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93726-3204
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    Country              |    US
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    Telephone            |    
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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        |    2255A2300X
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    Taxonomy Name        |    Athletic Trainer
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    License Number       |    
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    License Number State |    
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