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General NPI Number Information
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NPI Number | 1437546686
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Entity Type | Individual
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Provider Name | MARK STEPHEN RAMSEY MA, ATC, CSCS, CES
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Gender | Male
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Dates
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Enumeration Date | 04/24/2015
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Last Update Date | 04/24/2015
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Provider Practice Location Address
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Address Line | 6500 SOQUEL DR
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City | APTOS
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State | CA
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Zip | 95003-3119
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Country | US
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Telephone | 831-479-6448
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Fax |
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Provider Business Mailing Address
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Address Line | 273 ADA AVE
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City | FELTON
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State | CA
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Zip | 95018-9252
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Country | US
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Telephone | 831-239-9233
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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 | 060002233
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License Number State | CA
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