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General NPI Number Information
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NPI Number | 1831841717
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Entity Type | Individual
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Provider Name | ELIDA MARIA RAMOS FNP
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Gender | Female
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Dates
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Enumeration Date | 01/22/2022
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 4315 JAMES CASEY ST STE 200
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City | AUSTIN
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State | TX
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Zip | 78745-3364
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Country | US
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Telephone | 512-383-9752
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Fax | 512-406-7360
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Provider Business Mailing Address
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Address Line | 6210 E HWY 290
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City | AUSTIN
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State | TX
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Zip | 78723-1142
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Country | US
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Telephone | 512-483-9596
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Fax | 512-406-6216
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 929406
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1059597
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License Number State | TX
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