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General NPI Number Information
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NPI Number | 1548849607
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Entity Type | Organization
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Legal Business Name | MARK A RAMIREZ MD
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 949 CALHOUN PL STE G
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City | HEMET
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State | CA
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Zip | 92543-4403
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Country | US
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Telephone | 951-765-5594
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Fax | 888-662-4491
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Provider Business Mailing Address
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Address Line | 949 CALHOUN PL STE G
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City | HEMET
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State | CA
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Zip | 92543-4403
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Country | US
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Telephone | 951-765-5594
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Fax | 888-662-4491
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK A RAMIREZ
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Credential | MD
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Telephone | 951-566-6605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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