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General NPI Number Information
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NPI Number | 1144316936
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Entity Type | Organization
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Legal Business Name | CHARLES A RAUGH DPM PC
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 1800 I ST NW SUITE 503B
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City | WASHINGTON
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State | DC
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Zip | 20006-5407
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Country | US
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Telephone | 202-628-2230
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 I ST NW SUITE 503B
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City | WASHINGTON
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State | DC
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Zip | 20006-5407
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Country | US
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Telephone | 202-628-2230
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Fax |
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Authorized Official
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Title or Position | OWNER PRACTITIONER
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Name | DR. CHARLES ALAN RAUGH
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Credential | DPM
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Telephone | 202-628-2230
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO347
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License Number State | DC
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