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General NPI Number Information
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NPI Number | 1871753830
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Entity Type | Individual
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Provider Name | KAMEN SASHEV RANGELOV MD
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Gender | Male
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Dates
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Enumeration Date | 06/12/2008
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Last Update Date | 08/04/2014
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Provider Practice Location Address
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Address Line | 85 SPRING ST
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City | LACONIA
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State | NH
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Zip | 03246-3113
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Country | US
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Telephone | 603-527-2970
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Fax | 603-527-2874
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Provider Business Mailing Address
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Address Line | PO BOX 1327
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City | LACONIA
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State | NH
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Zip | 03247-1327
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Country | US
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Telephone | 603-524-3211
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Fax | 603-527-7038
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301091922
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 16607
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 16607
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License Number State | NH
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