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General NPI Number Information
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NPI Number | 1093910051
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Entity Type | Individual
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Provider Name | FRANK STEPHEN RANUSKA M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 49 GLENAIRE DR
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City | SAN RAFAEL
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State | CA
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Zip | 94901-5279
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Country | US
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Telephone | 415-378-7644
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Fax | 415-457-8618
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Provider Business Mailing Address
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Address Line | 49 GLENAIRE DR
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City | SAN RAFAEL
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State | CA
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Zip | 94901-5279
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Country | US
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Telephone | 415-378-7644
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Fax | 415-457-8618
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G40501
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License Number State | CA
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