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General NPI Number Information
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NPI Number | 1366676025
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Entity Type | Individual
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Provider Name | STEVEN RAWLINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2009
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Last Update Date | 05/11/2009
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Provider Practice Location Address
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Address Line | 1223 LAWTON LN
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City | WAUNAKEE
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State | WI
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Zip | 53597-2641
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Country | US
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Telephone | 608-850-5868
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Fax |
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Provider Business Mailing Address
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Address Line | 1223 LAWTON LN
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City | WAUNAKEE
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State | WI
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Zip | 53597-2641
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Country | US
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Telephone | 608-850-5868
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 22034-020
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License Number State | WI
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