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General NPI Number Information
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NPI Number | 1619476819
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Entity Type | Individual
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Provider Name | TRACEY KRANGEL MSN, RN-BC, AGCNS-BC
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Gender | Female
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Dates
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Enumeration Date | 02/03/2018
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Last Update Date | 02/03/2018
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Provider Practice Location Address
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Address Line | 900 LYON CT
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City | CONCORD
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State | CA
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Zip | 94518-2619
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Country | US
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Telephone | 973-219-6235
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Fax |
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Provider Business Mailing Address
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Address Line | 900 LYON CT
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City | CONCORD
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State | CA
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Zip | 94518-2619
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Country | US
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Telephone |
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 815022
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 364SG0600X
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Taxonomy Name | Gerontology Clinical Nurse Specialist
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License Number | 4264
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License Number State | CA
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