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General NPI Number Information
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NPI Number | 1952414047
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Entity Type | Organization
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Legal Business Name | ANTHONY J. RANERI, MD, PA
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 3001 S HANOVER ST SUITE 206
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City | BALTIMORE
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State | MD
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Zip | 21225-1233
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Country | US
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Telephone | 410-354-1070
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Fax | 410-354-4129
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Provider Business Mailing Address
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Address Line | 3001 S HANOVER ST SUITE 206
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City | BALTIMORE
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State | MD
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Zip | 21225-1233
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Country | US
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Telephone | 410-354-1070
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Fax | 410-354-4129
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ANTHONY J RANERI
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Credential | M.D.
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Telephone | 410-354-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D16381
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License Number State | MD
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