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General NPI Number Information
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NPI Number | 1295700110
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Entity Type | Individual
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Provider Name | GREGORY ERNEST RAAB MD
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Gender | Male
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Dates
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Enumeration Date | 02/22/2006
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 2021 CHURCH ST SUITE 200
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City | NASHVILLE
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State | TN
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Zip | 37203-2021
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Country | US
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Telephone | 615-284-2000
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Fax | 615-284-2003
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Provider Business Mailing Address
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Address Line | PO BOX 306076
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City | NASHVILLE
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State | TN
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Zip | 37230-6076
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Country | US
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Telephone | 615-284-2000
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Fax | 615-284-2003
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 41491
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 200600137
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | MD423193
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License Number State | PA
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