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General NPI Number Information
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NPI Number | 1669642740
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Entity Type | Organization
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Legal Business Name | TRRAM, INC
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Dates
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Enumeration Date | 03/05/2008
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Last Update Date | 03/05/2008
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Provider Practice Location Address
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Address Line | 1905 S MARKET ST
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City | BRENHAM
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State | TX
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Zip | 77833-4949
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Country | US
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Telephone | 979-830-8833
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Fax | 979-836-9983
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Provider Business Mailing Address
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Address Line | 1905 S MARKET ST
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City | BRENHAM
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State | TX
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Zip | 77833-4949
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Country | US
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Telephone | 979-830-8833
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Fax | 979-836-9983
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. TONY RAMIREZ
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Credential |
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Telephone | 979-830-8833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State |
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