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NPI 1801088018

NPI 1801088018 : MILDRED RAMOS LPN : TOA BAJA, PR

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General NPI Number Information
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    NPI Number           |    1801088018
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    Entity Type          |    Individual 
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    Provider Name        |    MILDRED RAMOS LPN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/11/2007
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    Last Update Date     |    08/11/2007
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Provider Practice Location Address
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    Address Line         |    PARQUE DEL LAGO CALLE 100 #13 APT 410
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    City                 |    TOA BAJA
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    State                |    PR
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    Zip                  |    00949-3239
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    Country              |    US
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    Telephone            |    787-372-1964
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    Fax                  |    787-795-5330
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Provider Business Mailing Address
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    Address Line         |    PARQUE DEL LAGO CALLE 100 #13 APT 410
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    City                 |    TOA BAJA
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    State                |    PR
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    Zip                  |    00949-3239
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    Country              |    US
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    Telephone            |    787-372-1964
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    Fax                  |    787-795-5330
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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        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    018282
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    License Number State |    PR
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