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General NPI Number Information
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NPI Number | 1407190499
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Entity Type | Organization
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Legal Business Name | JERREMY M RAMP MD INC
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 05/03/2019
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Provider Practice Location Address
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Address Line | 8335 NAAB RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-1919
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Country | US
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Telephone | 317-338-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 1427 W 86TH ST SUITE 152
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-2103
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Country | US
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Telephone | 317-466-0724
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JERREMY M RAMP
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Credential | MD
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Telephone | 317-338-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 01201219A
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License Number State | IN
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