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General NPI Number Information
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NPI Number | 1114374006
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Entity Type | Individual
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Provider Name | LYDIA A RANEY MD
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Gender | Female
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Dates
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Enumeration Date | 05/20/2016
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Last Update Date | 10/06/2025
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Provider Practice Location Address
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Address Line | 707 N ALVERNON WAY STE 101
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City | TUCSON
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State | AZ
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Zip | 85711-1830
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Country | US
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Telephone | 520-694-8888
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Fax | 520-694-1640
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Provider Business Mailing Address
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Address Line | 1502 N CAMPBELL AVE
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City | TUCSON
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State | AZ
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Zip | 85724-0001
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Country | US
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Telephone | 520-694-8888
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Fax | 520-694-1640
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD194566
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 76816
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License Number State | AZ
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