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General NPI Number Information
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NPI Number | 1609940998
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Entity Type | Individual
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Provider Name | ROBERT WADE RANSDELL MD
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 03/20/2014
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Provider Practice Location Address
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Address Line | 801 ST. MARY'S DR., SUITE 405EAST
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City | EVANSVILLE
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State | IN
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Zip | 47714
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Country | US
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Telephone | 812-473-0297
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Fax | 812-485-7822
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Provider Business Mailing Address
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Address Line | 801 ST. MARY'S DR., SUITE 405 EAST
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City | EVANSVILLE
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State | IN
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Zip | 47714
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Country | US
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Telephone | 812-473-0297
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Fax | 812-485-7822
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 01024880B
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License Number State | IN
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