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General NPI Number Information
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NPI Number | 1083720833
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Entity Type | Organization
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Legal Business Name | VIRGINIA A. RAUTH, M.D., P.A.
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Dates
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Enumeration Date | 08/22/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 8220 MEMPHIS AVE
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City | LUBBOCK
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State | TX
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Zip | 79423-2612
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Country | US
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Telephone | 806-789-4071
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 53233
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City | LUBBOCK
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State | TX
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Zip | 79453-3233
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Country | US
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Telephone | 806-789-4071
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Fax |
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Authorized Official
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Title or Position | M.D.
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Name | VIRGINIA A. RAUTH
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Credential |
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Telephone | 806-789-4071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | E8837
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License Number State | TX
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