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General NPI Number Information
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NPI Number | 1528131398
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Entity Type | Organization
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Legal Business Name | DR DUANE L RANA P S
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Dates
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Enumeration Date | 11/17/2006
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Last Update Date | 06/19/2008
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Provider Practice Location Address
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Address Line | 123 HOSPITAL WAY
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City | BREWSTER
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State | WA
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Zip | 98812-0578
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Country | US
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Telephone | 509-689-3220
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Fax | 509-689-9207
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Provider Business Mailing Address
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Address Line | PO BOX 578
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City | BREWSTER
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State | WA
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Zip | 98812-0578
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Country | US
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Telephone | 509-689-3220
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Fax | 509-689-9207
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Authorized Official
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Title or Position | OPTOMETRIST-OWNER
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Name | DR. DUANE L. RANA
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Credential | OD
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Telephone | 509-689-3220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OD00001256
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License Number State | WA
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