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General NPI Number Information
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NPI Number | 1679797278
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Entity Type | Individual
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Provider Name | MATTHEW T. RANSON M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 4838 E BASELINE RD STE 108
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City | MESA
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State | AZ
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Zip | 85206-4672
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Country | US
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Telephone | 480-724-7091
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Fax | 480-854-1445
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Provider Business Mailing Address
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Address Line | 4838 E BASELINE RD STE 108
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City | MESA
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State | AZ
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Zip | 85206-4672
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Country | US
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Telephone | 480-724-7091
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Fax | 480-854-1445
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 46448
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 46448
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License Number State | AZ
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