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General NPI Number Information
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NPI Number | 1699536706
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Entity Type | Individual
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Provider Name | CAMILLE ANNE RAMIREZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/17/2024
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 26520 CACTUS AVE
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City | MORENO VALLEY
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State | CA
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Zip | 92555-3927
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Country | US
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Telephone | 951-486-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 10382 GREENFORD DR
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City | SAN DIEGO
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State | CA
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Zip | 92126-3335
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Country | US
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Telephone | 209-210-0537
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA63932
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License Number State | CA
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