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General NPI Number Information
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NPI Number | 1750555348
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Entity Type | Organization
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Legal Business Name | EUREKA ALLERGY AND ASTHMA CARE SPECIALISTS
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 04/15/2008
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Provider Practice Location Address
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Address Line | 2504 HARRISON AVE STE. A
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City | EUREKA
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State | CA
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Zip | 95501-3236
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Country | US
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Telephone | 707-442-1200
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Fax | 707-444-2355
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Provider Business Mailing Address
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Address Line | 2504 HARRISON AVE STE. A
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City | EUREKA
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State | CA
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Zip | 95501-3236
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Country | US
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Telephone | 707-442-1200
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Fax | 707-444-2355
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Authorized Official
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Title or Position | OWNER
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Name | DR. MADELEINE S RAMOS
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Credential | M.D.
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Telephone | 707-442-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | A101471
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License Number State | CA
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