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General NPI Number Information
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NPI Number | 1174027650
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Entity Type | Organization
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Legal Business Name | CHRISTOPHER J. RANKIN, LLC
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Dates
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Enumeration Date | 03/20/2018
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Last Update Date | 11/12/2019
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Provider Practice Location Address
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Address Line | 240 HIGHLAND DR
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City | MANY
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State | LA
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Zip | 71449-3718
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Country | US
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Telephone | 318-780-9083
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Fax | 318-798-4601
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Provider Business Mailing Address
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Address Line | PO BOX 53282
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City | SHREVEPORT
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State | LA
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Zip | 71135-3282
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Country | US
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Telephone | 318-780-9083
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Fax | 318-798-4601
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Authorized Official
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Title or Position | MD/OWNER
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Name | CHRISTOPHER JAMES RANKIN
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Credential | MD
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Telephone | 318-780-9083
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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 | MD.25685
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License Number State | LA
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