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NPI 1760259451

NPI 1760259451 : ANA RANGEL : SAN DIEGO, CA

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General NPI Number Information
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    NPI Number           |    1760259451
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    Entity Type          |    Individual 
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    Provider Name        |    ANA RANGEL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/04/2023
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    Last Update Date     |    07/02/2025
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Provider Practice Location Address
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    Address Line         |    446 ALTA RD STE 6100 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92158-0001
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    Country              |    US
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    Telephone            |    831-240-7476
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4281 1/2 ESTRELLA AVE 
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    City                 |    SAN DIEGO
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    State                |    CA
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    Zip                  |    92115-4924
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    Country              |    US
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    Telephone            |    
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    155450
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    License Number State |    CA
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