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General NPI Number Information
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NPI Number | 1083830871
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Entity Type | Individual
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Provider Name | DONALD A RAUH M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/03/2010
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Provider Practice Location Address
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Address Line | 306 FLORAL VALE BLVD
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City | YARDLEY
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State | PA
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Zip | 19067-5525
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Country | US
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Telephone | 215-860-6101
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Fax | 215-860-6169
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Provider Business Mailing Address
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Address Line | 306 FLORAL VALE BLVD
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City | YARDLEY
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State | PA
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Zip | 19067-5525
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Country | US
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Telephone | 215-860-6101
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Fax | 215-860-6169
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD037775E
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ID-47150
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MA073170
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD037775E
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | ID-47150
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MA073170
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License Number State | NJ
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