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General NPI Number Information
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NPI Number | 1477657252
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Entity Type | Individual
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Provider Name | RAMIRO D. YEPEZ D.P.M., LLC
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Gender | Male
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 88 CONGRESS ST
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City | NEWARK
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State | NJ
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Zip | 07105-1802
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Country | US
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Telephone | 973-344-4415
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Fax | 973-344-5224
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Provider Business Mailing Address
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Address Line | 69 THOMAS DR
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City | CLARK
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State | NJ
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Zip | 07066-2224
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Country | US
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Telephone | 732-771-7580
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00283400
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License Number State | NJ
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