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General NPI Number Information
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NPI Number | 1477430858
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Entity Type | Individual
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Provider Name | RYAN RAMOS
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Gender | Male
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 5860 UPLANDER WAY
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City | CULVER CITY
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State | CA
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Zip | 90230-6608
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Country | US
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Telephone | 310-966-6500
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Fax |
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Provider Business Mailing Address
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Address Line | 662 BOWCREEK DR
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City | DIAMOND BAR
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State | CA
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Zip | 91765-1853
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Country | US
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Telephone | 909-815-3628
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 95211558
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License Number State | CA
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