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General NPI Number Information
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NPI Number | 1992788749
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Entity Type | Individual
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Provider Name | HECTOR RAMIREZ JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/25/2005
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Last Update Date | 12/02/2013
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Provider Practice Location Address
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Address Line | 3615 LAKE CENTER DR
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City | MOUNT DORA
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State | FL
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Zip | 32757-2364
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Country | US
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Telephone | 352-383-3716
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Fax |
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Provider Business Mailing Address
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Address Line | 7179 SE 94TH LN
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City | OCALA
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State | FL
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Zip | 34472-9245
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Country | US
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Telephone | 352-347-8125
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 12761
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME 88764
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License Number State | FL
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