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General NPI Number Information
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NPI Number | 1679574644
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Entity Type | Individual
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Provider Name | MOHAMMAD JAVED RANA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/02/2005
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 2003 LEATHERWOOD LN
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City | BLUEFIELD
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State | VA
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Zip | 24605-2026
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Country | US
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Telephone | 276-322-0000
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Fax | 276-322-0003
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Provider Business Mailing Address
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Address Line | 2003 LEATHERWOOD LN
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City | BLUEFIELD
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State | VA
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Zip | 24605-2026
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Country | US
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Telephone | 276-322-0000
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Fax | 276-322-0003
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 18953
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License Number State | WV
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