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General NPI Number Information
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NPI Number | 1851969877
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Entity Type | Individual
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Provider Name | MIKALA RAMIREZ RN
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Gender | Female
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 11/06/2021
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Provider Practice Location Address
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Address Line | 117 ELLINGTON DR
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City | RAYVILLE
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State | LA
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Zip | 71269-3632
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Country | US
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Telephone | 318-728-0281
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Fax | 318-728-0282
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Provider Business Mailing Address
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Address Line | 117 ELLINGTON DR
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City | RAYVILLE
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State | LA
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Zip | 71269-3632
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Country | US
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Telephone | 318-728-0281
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 221859
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN152971
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License Number State | LA
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