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General NPI Number Information
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NPI Number | 1144549221
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Entity Type | Individual
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Provider Name | PANKAJ RANKA M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 01/13/2018
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Provider Practice Location Address
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Address Line | 911 SUNSET DR
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City | HOLLISTER
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State | CA
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Zip | 95023-5606
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Country | US
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Telephone | 831-637-5711
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 782
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-0782
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A122830
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License Number State | CA
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