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NPI 1649490202

NPI 1649490202 : MONICA EUGENIA RAMIREZ DDS : SAN BERNARDINO, CA

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General NPI Number Information
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    NPI Number           |    1649490202
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    Entity Type          |    Individual 
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    Provider Name        |    MONICA EUGENIA RAMIREZ DDS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/26/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    555 SOUTH MOUNT VERNON AVE SUITE G
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    City                 |    SAN BERNARDINO
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    State                |    CA
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    Zip                  |    92410-2700
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    Country              |    US
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    Telephone            |    909-384-7374
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    Fax                  |    909-384-7394
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Provider Business Mailing Address
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    Address Line         |    10415 PARAMONT BLVD #231
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    City                 |    DOWNEY
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    State                |    CA
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    Zip                  |    90241-2368
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    Country              |    US
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    Telephone            |    562-928-1274
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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        |    122300000X
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    Taxonomy Name        |    Dentist
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    License Number       |    44436
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    License Number State |    CA
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