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General NPI Number Information
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NPI Number | 1740950286
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Entity Type | Individual
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Provider Name | RANJANA KHANAL FNP
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Gender | Female
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Dates
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Enumeration Date | 09/16/2021
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1201 S SHERMAN ST
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City | RICHARDSON
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State | TX
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Zip | 75081-6507
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Country | US
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Telephone | 972-925-9087
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Fax |
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Provider Business Mailing Address
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Address Line | 10033 HUEY TRL
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City | HURST
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State | TX
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Zip | 76053-7880
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Country | US
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Telephone | 817-932-2616
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 1019035
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F08200710
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License Number State | TX
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