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General NPI Number Information
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NPI Number | 1912072646
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Entity Type | Individual
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Provider Name | MUKESH R RANGWANI MD
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Gender | Male
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Dates
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Enumeration Date | 11/21/2006
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 930 BETHESDA DR
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City | ZANESVILLE
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State | OH
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Zip | 43701-0815
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Country | US
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Telephone | 740-452-4539
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 816
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City | ZANESVILLE
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State | OH
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Zip | 43702-0816
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Country | US
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Telephone | 740-452-4539
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Fax | 740-452-5702
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 35-06-8113
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License Number State | OH
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