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General NPI Number Information
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NPI Number | 1467826255
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Entity Type | Individual
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Provider Name | SADIE S RAUSCHENBACH PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/17/2015
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1110 E SAINT PETER ST
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City | NEW IBERIA
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State | LA
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Zip | 70560-3932
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Country | US
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Telephone | 337-364-1166
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Fax | 337-364-7090
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Provider Business Mailing Address
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Address Line | 1110 E ST PETER ST.
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City | NEW IBERIA
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State | LA
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Zip | 70560
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Country | US
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Telephone | 337-364-1166
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Fax | 337-364-7090
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 300549
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License Number State | LA
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