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General NPI Number Information
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NPI Number | 1134278773
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Entity Type | Individual
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Provider Name | MOHAMMAD M RANA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 01/24/2022
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Provider Practice Location Address
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Address Line | 4090 LAFAYETTE CENTER DR
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City | CHANTILLY
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State | VA
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Zip | 20151-1244
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Country | US
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Telephone | 703-227-5000
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Fax | 703-227-5010
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Provider Business Mailing Address
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Address Line | 2101 E JEFFERSON ST KAISER PERMANENTE, PPQA, 6 WEST, ATTN: THERESA BROOKS
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City | ROCKVILLE
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State | MD
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Zip | 20852-4908
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Country | US
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Telephone | 301-816-6660
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Fax | 301-816-6308
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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 | D57061
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License Number State | MD
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