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General NPI Number Information
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NPI Number | 1689704975
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Entity Type | Individual
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Provider Name | RANI BEHARRY MD
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Gender | Female
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 130 ENTERPRISE DR
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City | DANVILLE
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State | VA
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Zip | 24540-4070
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Country | US
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Telephone | 203-645-2903
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Fax |
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Provider Business Mailing Address
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Address Line | 1047 RIVER RIDGE RD
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City | DANVILLE
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State | VA
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Zip | 24541-8277
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Country | US
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Telephone | 203-645-2903
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101243511
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0008582
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License Number State | DE
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