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General NPI Number Information
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NPI Number | 1255652079
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Entity Type | Individual
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Provider Name | RAELEY RINDERKNECHT GUESS D.O.
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Gender | Female
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Dates
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Enumeration Date | 06/16/2010
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Last Update Date | 09/27/2016
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Provider Practice Location Address
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Address Line | 7777 FOREST LN D569
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City | DALLAS
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State | TX
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Zip | 75230-2571
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Country | US
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Telephone | 972-566-8340
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Fax | 972-566-8338
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Provider Business Mailing Address
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Address Line | 810 HART CT
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City | FAIRVIEW
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State | TX
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Zip | 75069-9001
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Country | US
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Telephone | 817-312-3596
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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 | 2080P0203X
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Taxonomy Name | Pediatric Critical Care Medicine Physician
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License Number | P5981
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License Number State | TX
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