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General NPI Number Information
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NPI Number | 1548520638
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Entity Type | Individual
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Provider Name | JULIUS ANGELO LLANES RAMIREZ MD
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Gender | Male
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Dates
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Enumeration Date | 05/22/2012
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 108 GREEN VALLEY RD
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City | FREEDOM
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State | CA
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Zip | 95019-3110
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Country | US
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Telephone | 831-722-2473
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Fax |
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Provider Business Mailing Address
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Address Line | 108 GREEN VALLEY RD
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City | FREEDOM
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State | CA
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Zip | 95019-3110
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Country | US
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Telephone | 831-722-2473
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301100798
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A146391
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License Number State | CA
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