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NPI 1619158409

NPI 1619158409 : RAMOS PROSTHETICS & PEDORTHICS : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1619158409
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAMOS PROSTHETICS & PEDORTHICS 
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Dates
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    Enumeration Date     |    11/20/2007
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    Last Update Date     |    01/23/2017
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Provider Practice Location Address
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    Address Line         |    8519 CALLAGHAN RD 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78230-4948
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    Country              |    US
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    Telephone            |    210-928-2000
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    Fax                  |    210-928-2001
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Provider Business Mailing Address
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    Address Line         |    8519 CALLAGHAN RD 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78230-4948
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    Country              |    US
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    Telephone            |    210-928-2000
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    Fax                  |    210-928-2001
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT
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    Name                 |    MR. RICARDO MORALES RAMOS 
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    Credential           |    LP CP CPED
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    Telephone            |    210-928-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    224P00000X
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    Taxonomy Name        |    Prosthetist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    335E00000X
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    Taxonomy Name        |    Prosthetic/Orthotic Supplier
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    License Number       |    
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    License Number State |    
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