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NPI 1669520847

NPI 1669520847 : CESAR A RAMIREZ RPAC : JACKSON HEIGHTS, NY

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General NPI Number Information
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    NPI Number           |    1669520847
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    Entity Type          |    Individual 
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    Provider Name        |    CESAR A RAMIREZ RPAC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/06/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    9301 ROOSEVELT AVE 
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    City                 |    JACKSON HEIGHTS
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    State                |    NY
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    Zip                  |    11372-7943
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    Country              |    US
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    Telephone            |    718-334-0001
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    Fax                  |    718-334-0093
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Provider Business Mailing Address
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    Address Line         |    570 N 2ND ST 
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    City                 |    NEW HYDE PARK
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    State                |    NY
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    Zip                  |    11040-2826
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    Country              |    US
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    Telephone            |    347-886-6002
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    Fax                  |    718-334-0093
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    008628
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    License Number State |    NY
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