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NPI 1700410461

NPI 1700410461 : ANGELA MARIA TORRES RAMIREZ RDN, LDN : CHARLESTON, SC

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General NPI Number Information
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    NPI Number           |    1700410461
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    Entity Type          |    Individual 
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    Provider Name        |    ANGELA MARIA TORRES RAMIREZ RDN, LDN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/02/2020
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    Last Update Date     |    03/02/2020
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Provider Practice Location Address
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    Address Line         |    51 NASSAU ST 
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    City                 |    CHARLESTON
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    State                |    SC
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    Zip                  |    29403-5513
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    Country              |    US
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    Telephone            |    843-722-4112
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3590 MARY ADER AVE APT 918 
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    City                 |    CHARLESTON
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    State                |    SC
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    Zip                  |    29414-5791
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    Country              |    US
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    Telephone            |    954-604-4265
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    2024
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    License Number State |    SC
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Taxonomy #2
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    86063552
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    License Number State |    
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