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General NPI Number Information
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NPI Number | 1508058504
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Entity Type | Individual
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Provider Name | LEONEL RAMIREZ I MSW
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Gender | Male
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | BO LAS FLORES ROAD 153 KM 12.1
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City | COAMO
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State | PR
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Zip | 00769-9760
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Country | US
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Telephone | 787-825-3602
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Fax | 787-825-3602
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Provider Business Mailing Address
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Address Line | HC 01 BOX 3558
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City | VILLALBA
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State | PR
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Zip | 00766-9706
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Country | US
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Telephone | 787-825-3602
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Fax | 787-825-3602
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 7386
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License Number State | PR
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