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General NPI Number Information
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NPI Number | 1811180979
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Entity Type | Organization
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Legal Business Name | RANJIT K. LAHA PC
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 08/22/2007
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Provider Practice Location Address
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Address Line | 500 PINE ST STE 8
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City | JAMESTOWN
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State | NY
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Zip | 14701-5331
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Country | US
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Telephone | 716-664-4701
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Fax | 716-664-4360
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Provider Business Mailing Address
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Address Line | 500 PINE ST STE 8
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City | JAMESTOWN
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State | NY
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Zip | 14701-5331
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Country | US
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Telephone | 716-664-4701
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Fax | 716-664-4360
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Authorized Official
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Title or Position | NEUROSURGEON
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Name | DR. RANJIT K LAHA
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Credential | M,D
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Telephone | 716-664-4701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 135790
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 135790
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License Number State | NY
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