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General NPI Number Information
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NPI Number | 1437039724
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Entity Type | Individual
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Provider Name | JASON RAMIREZ EALA DNP, APRN-RX, PMHNP
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Gender | Male
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1001 S BRADFORD ST STE 2
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City | DOVER
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State | DE
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Zip | 19904-4153
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Country | US
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Telephone | 302-592-3780
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Fax | 302-291-1827
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Provider Business Mailing Address
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Address Line | 95-390 KUAHELANI AVE # 3AC-1008
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City | MILILANI
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State | HI
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Zip | 96789-1192
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Country | US
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Telephone | 808-746-3664
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Fax | 808-867-6537
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN-5431
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License Number State | HI
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