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General NPI Number Information
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NPI Number | 1902025364
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Entity Type | Organization
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Legal Business Name | JAMES O. RANEY, MD PS
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 509 OLIVE WAY #1331
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City | SEATTLE
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State | WA
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Zip | 98101-1720
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Country | US
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Telephone | 206-903-6714
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Fax | 206-903-6714
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Provider Business Mailing Address
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Address Line | 3335 PLEASANT BEACH DR NE
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City | BAINBRIDGE ISLAND
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State | WA
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Zip | 98110-2248
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Country | US
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Telephone | 206-780-8312
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Fax | 206-903-6714
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES O. RANEY
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Credential | M.D.
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Telephone | 206-780-8312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD00008910
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License Number State | WA
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