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General NPI Number Information
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NPI Number | 1205270428
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Entity Type | Individual
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Provider Name | NITESH G RANA M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2013
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Last Update Date | 09/23/2020
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Provider Practice Location Address
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Address Line | 1635 GUNBARREL RD STE 100
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City | CHATTANOOGA
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State | TN
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Zip | 37421-4983
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Country | US
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Telephone | 423-778-8525
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Fax | 423-778-8526
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Provider Business Mailing Address
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Address Line | PO BOX 440261
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City | NASHVILLE
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State | TN
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Zip | 37244-0261
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Country | US
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Telephone | 615-329-0570
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Fax | 615-329-0579
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | 60991
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License Number State | TN
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