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General NPI Number Information
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NPI Number | 1245218262
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Entity Type | Individual
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Provider Name | RANDALL S RAWA M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/09/2006
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 102 TECHNOLOGY DR STE 130
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City | BUTLER
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State | PA
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Zip | 16001-1784
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Country | US
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Telephone | 724-234-3581
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 990
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City | BUTLER
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State | PA
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Zip | 16003-0990
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Country | US
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Telephone | 724-234-3581
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD064603L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME173422
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License Number State | FL
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