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General NPI Number Information
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NPI Number | 1578706172
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Entity Type | Individual
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Provider Name | DARREN RASHEED RAMOUTAR D.O.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2009
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Last Update Date | 03/15/2022
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Provider Practice Location Address
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Address Line | 407 S SCHWARTZ AVE STE 202
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City | FARMINGTON
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State | NM
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Zip | 87401-5925
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Country | US
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Telephone | 505-609-6770
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 6210
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City | FARMINGTON
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State | NM
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Zip | 87499-6210
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Country | US
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Telephone | 505-609-2258
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Fax | 505-609-2259
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | Q9718
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 34.015371
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | DO2022-0009
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License Number State | NM
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