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General NPI Number Information
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NPI Number | 1649937434
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Entity Type | Individual
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Provider Name | RAYNA JEAN RAMIREZ CPNP-PC
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Gender | Female
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 11/29/2021
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Provider Practice Location Address
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Address Line | 6011 E WOODMEN RD STE 115
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City | COLORADO SPRINGS
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State | CO
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Zip | 80923-2603
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Country | US
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Telephone | 719-319-3873
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Fax |
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Provider Business Mailing Address
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Address Line | 2562 RAYWOOD VW APT 1411
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City | COLORADO SPRINGS
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State | CO
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Zip | 80920-7789
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Country | US
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Telephone |
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0106162
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 0997137
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1678401
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License Number State | CO
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