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General NPI Number Information
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NPI Number | 1699330407
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Entity Type | Individual
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Provider Name | JESSICA SUE WARING RANZEIRO RN
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Gender | Female
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 05/07/2019
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Provider Practice Location Address
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Address Line | 602 W SEMANDS ST
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City | CONROE
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State | TX
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Zip | 77301-1867
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Country | US
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Telephone | 936-756-5598
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Fax | 936-249-2244
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Provider Business Mailing Address
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Address Line | 23211 LOW RIDGE RD
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City | SPRING
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State | TX
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Zip | 77373-7020
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Country | US
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Telephone | 832-404-1510
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 964463
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License Number State | TX
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