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General NPI Number Information
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NPI Number | 1558190793
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Entity Type | Individual
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Provider Name | IVAN M RAMOS SRNA
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Gender | Male
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Dates
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Enumeration Date | 07/27/2024
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Last Update Date | 07/27/2024
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Provider Practice Location Address
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Address Line | 10900 EUCLID AVE
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City | CLEVELAND
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State | OH
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Zip | 44106-1712
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Country | US
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Telephone | 216-368-6459
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Fax |
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Provider Business Mailing Address
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Address Line | 14555 MADISON AVE APT 606
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City | LAKEWOOD
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State | OH
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Zip | 44107-4364
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Country | US
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Telephone | 330-261-6927
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | RN.441190
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License Number State | OH
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