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General NPI Number Information
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NPI Number | 1952872616
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Entity Type | Individual
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Provider Name | DAN G. RAMIREZ
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Gender | Male
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Dates
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Enumeration Date | 12/06/2018
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Last Update Date | 12/06/2018
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Provider Practice Location Address
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Address Line | 325 IL-2
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City | DIXON
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State | IL
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Zip | 61021
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Country | US
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Telephone | 815-284-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 805 1ST AVE
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City | STERLING
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State | IL
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Zip | 61081-3624
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Country | US
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Telephone | 815-535-7296
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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