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General NPI Number Information
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NPI Number | 1629066816
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Entity Type | Individual
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Provider Name | GERARD JULIO RANIERI DPM
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Gender | Male
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 12656-B LAKE RIDGE DRIVE
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City | WOODBRIDGE
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State | VA
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Zip | 22192-7504
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Country | US
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Telephone | 703-491-2603
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Fax | 703-491-0752
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Provider Business Mailing Address
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Address Line | 12656 LAKE RIDGE DR STE B
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City | WOODBRIDGE
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State | VA
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Zip | 22192-7504
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Country | US
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Telephone | 703-491-2603
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Fax | 703-491-0752
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103000771
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36002143
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License Number State | OH
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