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NPI 1952598013

NPI 1952598013 : N DANIEL RANJBAR DDS PA : LAWRENCE, KS

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General NPI Number Information
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    NPI Number           |    1952598013
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    Entity Type          |    Organization 
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    Legal Business Name  |    N DANIEL RANJBAR DDS PA 
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Dates
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    Enumeration Date     |    10/02/2007
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    Last Update Date     |    07/16/2008
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Provider Practice Location Address
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    Address Line         |    4828 QUAIL CREST PL 
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    City                 |    LAWRENCE
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    State                |    KS
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    Zip                  |    66049-3838
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    Country              |    US
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    Telephone            |    785-832-1844
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    Fax                  |    785-832-8734
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Provider Business Mailing Address
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    Address Line         |    4828 QUAIL CREST PL 
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    City                 |    LAWRENCE
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    State                |    KS
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    Zip                  |    66049-3838
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    Country              |    US
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    Telephone            |    785-832-1844
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    Fax                  |    785-832-8734
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    DR. N DANIEL RANJBAR 
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    Credential           |    D.D.S.
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    Telephone            |    785-832-1844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    
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    License Number State |    
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