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General NPI Number Information
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NPI Number | 1801085675
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Entity Type | Organization
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Legal Business Name | M.G. RAMIREZ, D.D.S., P.C.
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 2277 E WILCOX DR
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2755
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Country | US
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Telephone | 520-459-1512
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Fax |
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Provider Business Mailing Address
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Address Line | 2277 E WILCOX DR
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2755
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Country | US
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Telephone | 520-459-1512
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MANUEL G. RAMIREZ
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Credential | D.D.S.
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Telephone | 520-459-1512
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 2383
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License Number State | AZ
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