{
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"EIN": null,
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"OrgName": "IVAN A RAMOS, MD, PA",
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"FirstLineMailingAddress": "11910 LITTLE RD",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "NEW PORT RICHEY",
"MailingAddressStateName": "FL",
"MailingAddressPostalCode": "34654-1013",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "727-863-2655",
"MailingAddressFaxNumber": "727-863-7865",
"FirstLinePracticeLocationAddress": "11910 LITTLE RD.",
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"PracticeLocationAddressCityName": "NEW PORT RICHEY",
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"PracticeLocationAddressTelephoneNumber": "727-863-2655",
"PracticeLocationAddressFaxNumber": "727-863-7865",
"EnumerationDate": "07/27/2006",
"LastUpdateDate": "04/20/2010",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "RAMOS",
"AuthorizedOfficialFirstName": "IVAN",
"AuthorizedOfficialMiddleName": "A",
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"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": "MD",
"AuthorizedOfficialTelephoneNumber": "727-863-2655",
"Taxonomies": {
"Taxonomy": {
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"TaxonomyName": "Internal Medicine Physician",
"LicenseNumber": "ME0046789",
"LicenseNumberStateCode": "FL",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
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"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}