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General NPI Number Information
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NPI Number | 1932842952
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Entity Type | Individual
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Provider Name | LYDIA RAMIREZ DO, MBA
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Gender | Female
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 4300 N JOSEY LN STE 110
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City | CARROLLTON
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State | TX
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Zip | 75010-4681
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Country | US
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Telephone | 214-483-3292
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Fax |
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Provider Business Mailing Address
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Address Line | 1211 COVE DR
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City | GARLAND
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State | TX
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Zip | 75040-8158
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Country | US
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Telephone | 214-854-5247
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 1932842952
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License Number State | TX
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