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General NPI Number Information
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NPI Number | 1730572926
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Entity Type | Organization
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Legal Business Name | DR. RHONDA K. VAN DRAN , O.D.,P.C.
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Dates
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Enumeration Date | 03/11/2015
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Last Update Date | 03/06/2018
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Provider Practice Location Address
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Address Line | 900 N HUDSON ST
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City | SILVER CITY
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State | NM
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Zip | 88061-5514
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Country | US
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Telephone | 575-388-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 900 N HUDSON ST
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City | SILVER CITY
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State | NM
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Zip | 88061-5514
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Country | US
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Telephone | 575-388-2020
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Fax |
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Authorized Official
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Title or Position | BUSINESS OFFICE MANAGER
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Name | MRS. CORINA BARRAGAN
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Credential |
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Telephone | 575-388-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 403
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License Number State | NM
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