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General NPI Number Information
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NPI Number | 1497211999
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Entity Type | Individual
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Provider Name | JESUS MANUEL RAMOS RNFA,ARNP
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Gender | Male
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 03/04/2022
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Provider Practice Location Address
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Address Line | 15230 NW 89TH AVE
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City | HIALEAH
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State | FL
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Zip | 33018-1373
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Country | US
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Telephone | 786-810-0496
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Fax |
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Provider Business Mailing Address
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Address Line | 15230 NW 89TH AVE
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City | HIALEAH
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State | FL
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Zip | 33018-1373
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Country | US
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Telephone | 786-810-0496
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11017780
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 16-508
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | 110117780
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License Number State | FL
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