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General NPI Number Information
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NPI Number | 1942385505
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Entity Type | Individual
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Provider Name | RAMONCHITO PERALTA MENOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 11/14/2021
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Provider Practice Location Address
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Address Line | 198 W CHERRY AVE UNIT A
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City | PORTERVILLE
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State | CA
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Zip | 93257-3506
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Country | US
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Telephone | 559-781-7980
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Fax | 559-788-0544
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Provider Business Mailing Address
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Address Line | 198 W CHERRY AVE UNIT A
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City | PORTERVILLE
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State | CA
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Zip | 93257-3506
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Country | US
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Telephone | 559-781-7980
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Fax | 559-788-0544
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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 | A56095
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License Number State | CA
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