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General NPI Number Information
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NPI Number | 1487063277
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Entity Type | Organization
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Legal Business Name | PRISCILLA RAMOS
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 4842 DEER RUN DR
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City | LORAIN
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State | OH
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Zip | 44053-4310
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Country | US
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Telephone | 440-258-1406
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Fax |
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Provider Business Mailing Address
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Address Line | 4842 DEER RUN DR
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City | LORAIN
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State | OH
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Zip | 44053-4310
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Country | US
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Telephone | 440-258-1406
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Fax |
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Authorized Official
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Title or Position | STNA
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Name | MRS. PRISCILLA RAMOS
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Credential |
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Telephone | 440-258-1406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 2862577
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License Number State | OH
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