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General NPI Number Information
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NPI Number | 1417206285
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Entity Type | Individual
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Provider Name | ANDREA RAU NP
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Gender | Female
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Dates
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Enumeration Date | 09/07/2012
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Last Update Date | 11/15/2021
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Provider Practice Location Address
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Address Line | 5151 MONROE ST STE 231I
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City | TOLEDO
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State | OH
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Zip | 43623-3462
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Country | US
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Telephone | 567-245-1976
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Fax | 877-920-2076
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Provider Business Mailing Address
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Address Line | 5151 MONROE ST STE 231I
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City | TOLEDO
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State | OH
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Zip | 43623-3462
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Country | US
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Telephone | 567-245-1976
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Fax | 877-920-2076
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | COA13805NP
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704270697
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License Number State | MI
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