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General NPI Number Information
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NPI Number | 1528329778
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Entity Type | Organization
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Legal Business Name | RAKESH RANJAN MD & ASSOCIATES, INC.
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 8532 MENTOR AVE
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City | MENTOR
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State | OH
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Zip | 44060-5822
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Country | US
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Telephone | 404-205-1008
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Fax | 440-205-1047
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Provider Business Mailing Address
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Address Line | 801 E WASHINGTON ST SUITE 150
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City | MEDINA
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State | OH
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Zip | 44256-3335
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Country | US
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Telephone | 330-722-1069
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Fax | 330-764-9712
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RAKESH A RANJAN
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Credential | MD
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Telephone | 216-870-4375
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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