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General NPI Number Information
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NPI Number | 1295977122
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Entity Type | Individual
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Provider Name | DAMIAN R RASCH D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/24/2009
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Last Update Date | 08/05/2015
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Provider Practice Location Address
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Address Line | 320 SANTA FE DR SUITE 204
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City | ENCINITAS
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State | CA
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Zip | 92024-5138
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Country | US
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Telephone | 760-944-7300
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Fax | 760-633-3949
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Provider Business Mailing Address
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Address Line | 320 SANTA FE DR SUITE 204
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City | ENCINITAS
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State | CA
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Zip | 92024-5138
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Country | US
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Telephone | 760-944-7300
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Fax | 760-633-3949
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 20A14015
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License Number State | CA
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