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General NPI Number Information
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NPI Number | 1528090701
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Entity Type | Individual
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Provider Name | ROSA LINDA RANGEL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 11/14/2024
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Provider Practice Location Address
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Address Line | 101 N MAIN ST
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City | COUPEVILLE
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State | WA
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Zip | 98239-3413
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Country | US
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Telephone | 360-678-5151
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Fax | 360-678-7676
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Provider Business Mailing Address
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Address Line | 101 N MAIN ST
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City | COUPEVILLE
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State | WA
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Zip | 98239-3413
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Country | US
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Telephone | 360-678-5151
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | C43297
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD60475665
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD60475665
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License Number State | WA
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