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General NPI Number Information
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NPI Number | 1710774195
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Entity Type | Individual
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Provider Name | SAMANTHA MONIQUE RAMOS CNP
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Gender | Female
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 2421 W 21ST STREET STE B
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City | CLOVIS
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State | NM
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Zip | 88101-2006
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Country | US
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Telephone | 575-769-7577
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Fax | 575-742-7857
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Provider Business Mailing Address
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Address Line | 1548 SR 77
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City | CLOVIS
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State | NM
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Zip | 88101-9089
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Country | US
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Telephone | 575-714-7267
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 83688
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License Number State | NM
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