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General NPI Number Information
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NPI Number | 1518685619
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Entity Type | Organization
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Legal Business Name | OLIVIA RAUSCHENBACH DDS LLC
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Dates
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Enumeration Date | 08/16/2022
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Last Update Date | 08/16/2022
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Provider Practice Location Address
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Address Line | 10550 QUIVIRA RD STE 210
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City | OVERLAND PARK
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State | KS
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Zip | 66215-2303
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Country | US
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Telephone | 913-492-7822
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Fax | 913-541-0501
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Provider Business Mailing Address
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Address Line | 200 WALNUT ST APT 304
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City | KANSAS CITY
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State | MO
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Zip | 64106-1024
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Country | US
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Telephone | 605-351-7611
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Fax |
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Authorized Official
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Title or Position | GENERAL DENTIST/OWNER
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Name | DR. OLIVIA RAUSCHENBACH
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Credential | DDS
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Telephone | 913-492-7822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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