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NPI Code Detail

MEDICARE: MS. CLAUDIA RUTH-RANKIN COLEMAN AS

MEDICARE: MS. CLAUDIA RUTH-RANKIN COLEMAN AS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1205165750
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CLAUDIA RUTH-RANKIN COLEMAN AS
Provider Business Mailing Address
First Line : 4705 N SONORA AVE
Second Line : STE 113
City : FRESNO
State : CA
Zip : 93722-3966
Country : US
Telephone Number : 559-276-7558
Fax Number : 559-276-7568
Provider Business Practice Location Address
First Line : 4705 N SONORA AVE
Second Line : STE 113
City : FRESNO
State : CA
Zip : 93722-3966
Country : US
Telephone Number : 559-276-7558
Fax Number : 559-276-7568
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2009
Last Update Date : 12/11/2009

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