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General NPI Number Information
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NPI Number | 1790783041
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Entity Type | Individual
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Provider Name | NICHOLAS TODD RANSON M. D.
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Gender | Male
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Dates
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Enumeration Date | 07/11/2005
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 929 BUSINESS PARK DR
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-8683
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Country | US
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Telephone | 231-947-6246
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Fax | 231-947-8864
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Provider Business Mailing Address
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Address Line | 929 BUSINESS PARK DR
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City | TRAVERSE CITY
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State | MI
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Zip | 49686-8683
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Country | US
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Telephone | 231-594-7062
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Fax | 231-594-7886
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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 | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | 2024004550
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2024004550
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207WX0200X
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Taxonomy Name | Ophthalmic Plastic and Reconstructive Surgery Physician
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License Number | MD00042059
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD00042059
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License Number State | WA
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