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General NPI Number Information
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NPI Number | 1306080536
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Entity Type | Individual
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Provider Name | ADRIANA RAUS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/01/2009
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Last Update Date | 03/20/2018
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Provider Practice Location Address
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Address Line | 2289 SOWER BLVD
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City | OKEMOS
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State | MI
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Zip | 48864-3297
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Country | US
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Telephone | 517-220-0603
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Fax | 517-212-9949
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Provider Business Mailing Address
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Address Line | 4324 WAUGH RD
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City | OWOSSO
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State | MI
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Zip | 48867-9746
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Country | US
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Telephone | 517-220-0603
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Fax | 517-212-9949
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | AR094783
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4301094783
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License Number State | MI
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