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General NPI Number Information
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NPI Number | 1609512177
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Entity Type | Individual
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Provider Name | ELIZABETH MENDEZ RAMIREZ AGACNP-BC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2022
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 3410 WORTH ST STE 820
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City | DALLAS
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State | TX
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Zip | 75246-2003
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Country | US
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Telephone | 214-820-9248
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Fax |
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Provider Business Mailing Address
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Address Line | 15117 LITSEY CREEK DR
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City | ROANOKE
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State | TX
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Zip | 76262-6386
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Country | US
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Telephone | 720-273-9679
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | AP000000
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License Number State | TX
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