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General NPI Number Information
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NPI Number | 1083737217
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Entity Type | Individual
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Provider Name | PRIYADARSHINI S RANBHISE MD
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 1600 11TH ST IN COMPASS HEALTH
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City | WICHITA FALLS
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State | TX
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Zip | 76301-4300
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Country | US
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Telephone | 248-275-8243
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Fax |
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Provider Business Mailing Address
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Address Line | 5132 CATHEDRAL LN IN COMPASS HEALTH
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City | WICHITA FALLS
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State | TX
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Zip | 76310-1490
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Country | US
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Telephone | 248-275-8243
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301083604
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q0545
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License Number State | TX
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