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General NPI Number Information
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NPI Number | 1265959035
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Entity Type | Individual
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Provider Name | ANDREW RANGEL
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Gender | Male
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Dates
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Enumeration Date | 08/23/2017
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Last Update Date | 08/23/2017
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Provider Practice Location Address
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Address Line | 599 W VETERANS BLVD
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City | CALHOUN CITY
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State | MS
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Zip | 38916-5501
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Country | US
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Telephone | 662-628-5811
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1228
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City | CALHOUN CITY
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State | MS
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Zip | 38916-1228
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | E14498
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License Number State | MS
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