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General NPI Number Information
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NPI Number | 1851556898
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Entity Type | Individual
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Provider Name | EMILEE JO RANGEL PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/18/2008
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 200 MEDICAL PARK DR STE 400
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City | CONCORD
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State | NC
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Zip | 28025-0906
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Country | US
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Telephone | 704-786-1108
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Fax | 704-782-1826
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Provider Business Mailing Address
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Address Line | 200 MEDICAL PARK DR STE 400
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City | CONCORD
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State | NC
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Zip | 28025-0906
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Country | US
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Telephone | 704-786-1108
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Fax | 704-782-1826
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0010-01382
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001001382
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License Number State | NC
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