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General NPI Number Information
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NPI Number | 1649054719
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Entity Type | Individual
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Provider Name | MADYSON RAMKOWSKY PA
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Gender | Female
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Dates
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Enumeration Date | 08/21/2023
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Last Update Date | 07/02/2025
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Provider Practice Location Address
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Address Line | 5904 HOLLY AVE NE
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-2472
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Country | US
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Telephone | 505-298-2505
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Fax |
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Provider Business Mailing Address
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Address Line | 9 BABALOS DR
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City | TIJERAS
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State | NM
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Zip | 87059-7202
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Country | US
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Telephone | 505-252-2451
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA2025-0060
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License Number State | NM
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