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General NPI Number Information
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NPI Number | 1922046622
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Entity Type | Individual
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Provider Name | LOUIS EALDAMA RAMOS MD
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 1201 W 38TH ST
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City | AUSTIN
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State | TX
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Zip | 78705-1006
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Country | US
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Telephone | 512-640-2691
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Fax | 512-598-8699
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Provider Business Mailing Address
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Address Line | 2604 THOMAS DR
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City | AUSTIN
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State | TX
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Zip | 78703-1641
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Country | US
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Telephone | 512-640-2691
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00041144
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | L2580
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License Number State | TX
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