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General NPI Number Information
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NPI Number | 1922594167
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Entity Type | Individual
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Provider Name | OMAR RAMOS DIAZ MSN, NP-C
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Gender | Male
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Dates
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Enumeration Date | 07/10/2018
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 4001 ROSSLYN DR
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City | CINCINNATI
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State | OH
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Zip | 45209-1111
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Country | US
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Telephone | 513-699-9090
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 32160 DEPT 107
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City | LOUISVILLE
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State | KY
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Zip | 40232-2160
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Country | US
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Telephone | 513-699-9090
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.023101
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN.CNP.023101
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | APRN.CNP.023101
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License Number State | OH
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