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General NPI Number Information
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NPI Number | 1942409859
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Entity Type | Individual
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Provider Name | JORGE A RAMOS SANTIAGO
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Gender | Male
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Dates
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Enumeration Date | 07/12/2007
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | HC 64 BOX 8487 CARR 7758 KM 1 BO GUARDARRAYA
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City | PATILLAS
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State | PR
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Zip | 00723
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Country | US
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Telephone | 787-486-8875
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Fax |
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Provider Business Mailing Address
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Address Line | HC 64 BOX 8487 BO. GUARDARRAYA
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City | PATILLAS
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State | PR
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Zip | 00723-9732
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Country | US
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Telephone | 787-486-8875
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2999
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License Number State | PR
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