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General NPI Number Information
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NPI Number | 1386564482
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Entity Type | Individual
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Provider Name | RAMIRO RODRIGUEZ
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Gender | Male
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Dates
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Enumeration Date | 07/18/2026
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Last Update Date | 07/18/2026
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Provider Practice Location Address
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Address Line | 531 50TH AVE FL 1
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-6297
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Country | US
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Telephone | 917-725-0207
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Fax |
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Provider Business Mailing Address
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Address Line | 2618 HOYT AVE S APT 2C
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City | ASTORIA
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State | NY
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Zip | 11102-2816
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Country | US
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Telephone | 917-439-6908
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 022986-01
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License Number State | NY
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