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General NPI Number Information
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NPI Number | 1134225444
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Entity Type | Individual
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Provider Name | JACQUELINE C. RANSON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 03/24/2015
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Provider Practice Location Address
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Address Line | 7400 LYNN AVE
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City | HAMLIN
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State | WV
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Zip | 25523-1138
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Country | US
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Telephone | 304-824-5806
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Fax | 304-824-5804
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Provider Business Mailing Address
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Address Line | 1563 SAND PLANT RD
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City | SOUTH CHARLESTON
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State | WV
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Zip | 25309-6120
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Country | US
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Telephone | 304-756-1500
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Fax | 304-756-1548
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 57338
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License Number State | WV
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