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General NPI Number Information
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NPI Number | 1033382767
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Entity Type | Individual
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Provider Name | ROBERT BRADLEY RATHER MPAS, PA-C
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Gender | Male
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Dates
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Enumeration Date | 04/02/2008
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1215 E COURT ST
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City | SEGUIN
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State | TX
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Zip | 78155-5129
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Country | US
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Telephone | 830-401-7332
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Fax |
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Provider Business Mailing Address
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Address Line | 24503 RIPPLE WAY
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City | SAN ANTONIO
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State | TX
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Zip | 78266-2912
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Country | US
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Telephone | 210-913-1725
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA07854
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License Number State | TX
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