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General NPI Number Information
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NPI Number | 1942905914
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Entity Type | Individual
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Provider Name | RAMEY ALFARRA DO
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Gender | Male
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Dates
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Enumeration Date | 03/31/2023
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Last Update Date | 03/31/2023
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Provider Practice Location Address
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Address Line | 1310 PALUXY RD
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City | GRANBURY
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State | TX
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Zip | 76048-5655
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Country | US
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Telephone | 817-573-2273
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Fax |
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Provider Business Mailing Address
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Address Line | 6112 NW 88TH AVE
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City | PARKLAND
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State | FL
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Zip | 33067-3740
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Country | US
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Telephone | 954-663-9716
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | PENDING
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License Number State | TX
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