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General NPI Number Information
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NPI Number | 1659053510
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Entity Type | Organization
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Legal Business Name | RANA & FRY ENTERPRISES LLC
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 3680 N INVESTMENT DR # 1
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-5458
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Country | US
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Telephone | 479-435-9356
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Fax |
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Provider Business Mailing Address
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Address Line | 1590 E JOYCE BLVD UNIT 8456
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City | FAYETTEVILLE
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State | AR
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Zip | 72703-7830
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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 | CO-OWNER
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Name | RYAN RANA
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Credential |
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Telephone | 479-871-9285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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