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General NPI Number Information
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NPI Number | 1437610136
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Entity Type | Individual
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Provider Name | DANIEL H RAUCH MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 163 W 125TH ST FL 12
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City | NEW YORK
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State | NY
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Zip | 10027-4436
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Country | US
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Telephone | 212-961-5889
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Fax |
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Provider Business Mailing Address
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Address Line | 80 RIVERSIDE BLVD APT 24B
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City | NEW YORK
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State | NY
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Zip | 10069-0318
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Country | US
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Telephone | 917-270-0701
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A191205
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License Number State | CA
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