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General NPI Number Information
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NPI Number | 1720063761
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Entity Type | Individual
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Provider Name | CHINGLEPUT RANGANATHAN MD
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Gender | Male
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 2351 E 22ND ST
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City | CLEVELAND
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State | OH
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Zip | 44115-3111
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Country | US
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Telephone | 216-363-2524
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Fax |
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Provider Business Mailing Address
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Address Line | 111 SALEM TPKE
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City | NORWICH
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State | CT
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Zip | 06360-7403
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Country | US
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Telephone | 860-892-6906
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35 10 0088C
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 35-100088
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 77160
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License Number State | CT
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