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General NPI Number Information
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NPI Number | 1871018317
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Entity Type | Individual
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Provider Name | JENNIFER I RAMIREZ
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Gender | Female
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Dates
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Enumeration Date | 08/05/2017
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Last Update Date | 09/22/2024
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Provider Practice Location Address
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Address Line | 2114 S 59TH CT
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City | CICERO
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State | IL
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Zip | 60804-2126
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Country | US
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Telephone | 708-683-9336
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Fax |
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Provider Business Mailing Address
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Address Line | 1440 W TAYLOR STREET #1376
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City | CHICAGO
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State | IL
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Zip | 60607
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Country | US
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Telephone | 708-915-9929
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149027063
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License Number State | IL
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