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General NPI Number Information
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NPI Number | 1386973733
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Entity Type | Individual
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Provider Name | RANA RKEIN
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Gender | Female
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 07/22/2019
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Provider Practice Location Address
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Address Line | 3815 PELHAM ST
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City | DEARBORN
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State | MI
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Zip | 48124-3852
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Country | US
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Telephone | 313-722-4683
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Fax | 313-241-9342
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Provider Business Mailing Address
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Address Line | 2181 E PECOS RD
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City | CHANDLER
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State | AZ
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Zip | 85225-6140
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Country | US
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Telephone | 480-238-7622
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Fax | 480-279-5502
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4590
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5315091344
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License Number State | MI
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