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General NPI Number Information
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NPI Number | 1578864708
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Entity Type | Organization
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Legal Business Name | RAYMOND DEUTSCH, MD INC
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 5655 COLLEGE AVE SUITE 314 B
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City | OAKLAND
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State | CA
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Zip | 94618-1583
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Country | US
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Telephone | 510-594-0367
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Fax | 559-433-6992
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Provider Business Mailing Address
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Address Line | 10765 N WINDHAM BAY CIR
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City | FRESNO
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State | CA
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Zip | 93730
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Country | US
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Telephone | 510-594-0367
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Fax | 559-433-6992
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RAYMOND MORRIS DEUTSCH
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Credential | M.D.
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Telephone | 510-594-0367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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