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General NPI Number Information
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NPI Number | 1356528210
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Entity Type | Organization
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Legal Business Name | RAULERSON GYN LLC
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Dates
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Enumeration Date | 01/23/2008
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Last Update Date | 05/06/2009
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Provider Practice Location Address
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Address Line | 1713 HIGHWAY 441 NORTH SUITE F
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City | OKEECHOBEE
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State | FL
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Zip | 34972
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Country | US
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Telephone | 863-763-8000
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Fax | 863-763-8212
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Provider Business Mailing Address
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Address Line | THREE MARYLAND SUITE 250
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City | BRENTWOOD
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State | TN
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Zip | 37027
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Country | US
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Telephone | 615-372-5024
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Fax | 866-899-5924
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Authorized Official
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Title or Position | AUTHORIZE OFFICIAL
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Name | DR. JAMES BRADFIELD
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Credential |
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Telephone | 863-763-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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