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General NPI Number Information
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NPI Number | 1518923721
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Entity Type | Individual
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Provider Name | RAYMOND G NEMER M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/25/2006
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 405 WHITTECAR AVE
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City | GREGORY
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State | SD
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Zip | 57533-1340
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Country | US
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Telephone | 605-835-9611
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Fax | 605-835-8033
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Provider Business Mailing Address
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Address Line | 405 WHITTECAR AVE
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City | GREGORY
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State | SD
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Zip | 57533-1340
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Country | US
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Telephone | 605-835-9611
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Fax | 605-835-8033
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0534
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 10323
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License Number State | NE
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