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General NPI Number Information
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NPI Number | 1972644524
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Entity Type | Individual
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Provider Name | WILLIAM A RAMIREZ D.D.S
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Gender | Male
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 811 S ALVARADO ST
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City | LOS ANGELES
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State | CA
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Zip | 90057-4009
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Country | US
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Telephone | 213-383-3314
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Fax | 213-383-0621
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Provider Business Mailing Address
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Address Line | 18772 FLYING TIGER DR
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City | CANYON COUNTRY
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State | CA
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Zip | 91387-8250
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Country | US
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Telephone | 661-250-9600
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Fax | 661-250-9601
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 54193
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License Number State | CA
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