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General NPI Number Information
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NPI Number | 1134635303
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Entity Type | Individual
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Provider Name | CHELSEA LEANN RANJEL MHA, AT, ATC
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Gender | Female
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Dates
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Enumeration Date | 12/23/2017
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Last Update Date | 12/23/2017
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Provider Practice Location Address
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Address Line | 705 OAK ST UNIT 11
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City | BIG RAPIDS
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State | MI
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Zip | 49307-3108
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Country | US
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Telephone | 231-305-3375
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Fax | 231-305-3093
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Provider Business Mailing Address
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Address Line | 23581 15 MILE RD
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City | BIG RAPIDS
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State | MI
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Zip | 49307-9228
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Country | US
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Telephone | 517-285-0634
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Fax |
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2601000868
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License Number State | MI
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