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General NPI Number Information
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NPI Number | 1033143722
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Entity Type | Organization
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Legal Business Name | RAKESH RANJAN M.D. & ASSOC., INC.
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 801 E WASHINGTON ST SUITE 150
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City | MEDINA
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State | OH
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Zip | 44256-3335
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Country | US
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Telephone | 330-722-1069
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Fax | 330-764-9712
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Provider Business Mailing Address
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Address Line | 12395 MCCRACKEN RD STE H
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City | CLEVELAND
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State | OH
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Zip | 44125-2946
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Country | US
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Telephone | 216-587-6727
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Fax | 866-277-0869
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Authorized Official
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Title or Position | CREDENTIALING
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Name | CHRISTINE A KELLY
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Credential |
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Telephone | 162-587-6727
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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