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General NPI Number Information
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NPI Number | 1710863683
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Entity Type | Individual
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Provider Name | JAKE RANNEY
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Gender | Male
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 26200 ROAD 204
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City | EXETER
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State | CA
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Zip | 93221-9664
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Country | US
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Telephone | 805-708-2766
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Fax |
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Provider Business Mailing Address
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Address Line | 26200 ROAD 204
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City | EXETER
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State | CA
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Zip | 93221-9664
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Country | US
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Telephone | 805-708-2766
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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 | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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