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General NPI Number Information
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NPI Number | 1801877238
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Entity Type | Organization
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Legal Business Name | RAGAN ASSOCIATES INC
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Dates
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Enumeration Date | 11/11/2005
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 3719 WEST MARKET ST STE A
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City | GREENSBORO
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State | NC
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Zip | 27403-1378
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Country | US
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Telephone | 336-855-6314
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Fax | 336-855-6325
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Provider Business Mailing Address
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Address Line | 3719 WEST MARKET ST STE A
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City | GREENSBORO
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State | NC
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Zip | 27403-1378
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Country | US
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Telephone | 336-855-6314
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Fax | 336-855-6325
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Authorized Official
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Title or Position | PRESIDENT
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Name | CLAUDE P RAGAN
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Credential |
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Telephone | 336-855-6374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 593
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License Number State | NC
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