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General NPI Number Information
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NPI Number | 1437859204
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Entity Type | Organization
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Legal Business Name | RAM ACADEMY
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Dates
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Enumeration Date | 03/09/2023
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Last Update Date | 03/09/2023
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Provider Practice Location Address
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Address Line | 1110 ROMA AVE
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City | HAMMOND
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State | LA
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Zip | 70403-5464
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Country | US
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Telephone | 985-402-3001
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Fax | 985-402-3054
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Provider Business Mailing Address
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Address Line | 1110 ROMA AVE
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City | HAMMOND
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State | LA
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Zip | 70403-5464
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Country | US
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Telephone | 985-402-3001
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Fax | 985-402-3054
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Authorized Official
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Title or Position | BUSINESS CO-OWNER
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Name | RENELL MANUEL
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Credential |
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Telephone | 504-339-0498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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