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General NPI Number Information
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NPI Number | 1457320863
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Entity Type | Individual
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Provider Name | CRAIG MITCHELL RANSBURG MSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 03/16/2006
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Last Update Date | 05/05/2010
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Provider Practice Location Address
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Address Line | 8404 SIEAR TER
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-7201
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Country | US
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Telephone | 317-887-7033
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Fax |
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Provider Business Mailing Address
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Address Line | 812 WINTER CT
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City | CARMEL
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State | IN
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Zip | 46032-5213
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Country | US
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Telephone | 317-566-8423
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 34004047A
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License Number State | IN
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