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General NPI Number Information
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NPI Number | 1770360307
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Entity Type | Individual
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Provider Name | CHEYMARI IVETTE RAMOS SA-C
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Gender | Female
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Dates
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Enumeration Date | 09/08/2023
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 10040 REFLECTIONS BLVD APT 204
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City | SUNRISE
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State | FL
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Zip | 33351-8307
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Country | US
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Telephone | 904-999-7191
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Fax |
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Provider Business Mailing Address
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Address Line | 10040 REFLECTIONS BLVD APT 204
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City | SUNRISE
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State | FL
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Zip | 33351-8307
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Country | US
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Telephone | 904-999-7191
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 22-311
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License Number State | FL
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