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General NPI Number Information
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NPI Number | 1992108567
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Entity Type | Individual
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Provider Name | PANSY RAMSEY
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Gender | Female
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Dates
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Enumeration Date | 09/26/2014
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Last Update Date | 09/26/2014
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Provider Practice Location Address
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Address Line | 607 W OAK ST
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City | WEST FRANKFORT
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State | IL
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Zip | 62896-2537
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Country | US
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Telephone | 618-937-3509
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Fax |
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Provider Business Mailing Address
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Address Line | 9220 MULKEYTOWN RD
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City | MULKEYTOWN
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State | IL
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Zip | 62865-2410
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 227001450
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License Number State | IL
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