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General NPI Number Information
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NPI Number | 1073232716
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Entity Type | Individual
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Provider Name | CIERRA JANE MANLEY RANGEL FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 970 MEDICAL DR
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City | BRIGHAM CITY
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State | UT
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Zip | 84302-3284
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Country | US
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Telephone | 435-734-4280
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Fax | 435-734-4281
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Provider Business Mailing Address
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Address Line | PO BOX 100253
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City | ATLANTA
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State | GA
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Zip | 30384-0253
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | 10325782-3102
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 13043794-4405
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License Number State | UT
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