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General NPI Number Information
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NPI Number | 1861244808
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Entity Type | Individual
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Provider Name | JAIME J RAMOS HERNANDEZ PA
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Gender | Male
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Dates
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Enumeration Date | 04/03/2024
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | HC 1 BOX 6960
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City | MOCA
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State | PR
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Zip | 00676-9555
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Country | US
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Telephone | 939-319-7254
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Fax |
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Provider Business Mailing Address
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Address Line | HC 1 BOX 6960
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City | MOCA
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State | PR
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Zip | 00676-9555
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Country | US
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Telephone | 939-319-7254
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 711-P.A.
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License Number State | PR
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