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NPI 1912672874

NPI 1912672874 : KENEDY E RAMOS PSY.D. : BURLINGAME, CA

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General NPI Number Information
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    NPI Number           |    1912672874
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    Entity Type          |    Individual 
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    Provider Name        |    KENEDY E RAMOS PSY.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/12/2021
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    Last Update Date     |    07/24/2025
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Provider Practice Location Address
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    Address Line         |    1633 BAYSHORE HWY STE 155 
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    City                 |    BURLINGAME
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    State                |    CA
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    Zip                  |    94010-1515
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    Country              |    US
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    Telephone            |    650-376-4230
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2730 SHADELANDS DR BLDG 10 
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    City                 |    WALNUT CREEK
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    State                |    CA
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    Zip                  |    94598-2538
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    Country              |    US
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    Telephone            |    
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    PSY35649
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    License Number State |    CA
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