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General NPI Number Information
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NPI Number | 1962574905
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Entity Type | Individual
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Provider Name | STEPHEN PAUL RAMIREZ CST, CFA
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Gender | Male
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 06/21/2022
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Provider Practice Location Address
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Address Line | 1155 S HAVANA ST 11-393
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City | AURORA
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State | CO
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Zip | 80012-4019
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Country | US
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Telephone | 303-362-0133
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Fax | 303-362-0133
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Provider Business Mailing Address
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Address Line | 1155 S HAVANA ST 11-393
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City | AURORA
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State | CO
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Zip | 80012-4019
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Country | US
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Telephone | 720-987-0090
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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