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General NPI Number Information
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NPI Number | 1609065275
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Entity Type | Organization
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Legal Business Name | RANKIN FAMILY MEDICINE
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Dates
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Enumeration Date | 10/19/2007
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Last Update Date | 09/27/2010
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Provider Practice Location Address
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Address Line | 725 NORTH ASHLEY RIDGE LOOP RANKIN FAMILY MEDICINE, SUITE #400
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City | SHREVEPORT
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State | LA
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Zip | 71106
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Country | US
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Telephone | 318-213-1030
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Fax | 318-213-1031
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Provider Business Mailing Address
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Address Line | PO BOX 6795 RANKIN FAMILY MEDICINE
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City | SHREVEPORT
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State | LA
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Zip | 71136-6795
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Country | US
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Telephone | 318-213-1030
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Fax | 318-213-1031
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Authorized Official
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Title or Position | MD/SOLE OWNER
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Name | DR. CHRISTOPHER J RANKIN
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Credential | MD
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Telephone | 318-213-1030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 25685
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License Number State | LA
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