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General NPI Number Information
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NPI Number | 1467208660
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Entity Type | Individual
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Provider Name | MICAH RAMOS RDN, LD
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Gender | Female
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Dates
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Enumeration Date | 04/29/2024
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Last Update Date | 05/20/2024
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Provider Practice Location Address
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Address Line | 400 CHISHOLM PL STE 100
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City | PLANO
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State | TX
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Zip | 75075-6911
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Country | US
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Telephone | 972-422-9180
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Fax | 888-821-2292
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Provider Business Mailing Address
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Address Line | 400 CHISHOLM PL STE 100
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City | PLANO
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State | TX
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Zip | 75075-6911
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Country | US
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Telephone | 972-422-9180
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Fax | 888-821-2292
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DT87148
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License Number State | TX
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