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General NPI Number Information
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NPI Number | 1104191352
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Entity Type | Organization
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Legal Business Name | RANGELAND INPATIENT SERVICES LLC
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 1124 WASHINGTON BLVD STE 1600
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City | NEWCASTLE
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State | WY
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Zip | 82701-2972
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Country | US
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Telephone | 469-401-2386
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Fax | 214-712-2444
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Provider Business Mailing Address
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Address Line | 13737 NOEL RD STE 1600
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City | DALLAS
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State | TX
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Zip | 75240-1331
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Country | US
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Telephone | 469-401-2386
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Fax | 214-712-2444
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROSS RONAN
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Credential | M.D.
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Telephone | 469-401-2386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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