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General NPI Number Information
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NPI Number | 1679631162
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Entity Type | Organization
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Legal Business Name | ROBERT D. RAMIREZ DMD . APC
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2436 PROFESSIONAL DR SUITE 200
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City | ROSEVILLE
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State | CA
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Zip | 95661-7773
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Country | US
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Telephone | 916-774-9920
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Fax | 916-774-1063
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Provider Business Mailing Address
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Address Line | 2436 PROFESSIONAL DR STE 200
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City | ROSEVILLE
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State | CA
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Zip | 95661-7773
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Country | US
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Telephone | 916-774-9920
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Fax | 916-774-1063
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT D RAMIREZ
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Credential | DMD
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Telephone | 916-774-9920
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | DG 34200
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License Number State | CA
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