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General NPI Number Information
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NPI Number | 1508003260
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Entity Type | Organization
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Legal Business Name | KENNETH J. RANSOM, MD, PLC
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 03/23/2009
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Provider Practice Location Address
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Address Line | 6812 E MONTERRA WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-8856
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Country | US
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Telephone | 480-414-7077
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Fax | 480-882-4276
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Provider Business Mailing Address
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Address Line | 6812 E MONTERRA WAY
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-8856
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Country | US
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Telephone | 480-414-7077
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Fax | 480-882-4276
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Authorized Official
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Title or Position | MEMBER
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Name | DR. KENNETH JOE RANSOM
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Credential | MD
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Telephone | 480-414-7077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 36291
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License Number State | AZ
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