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General NPI Number Information
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NPI Number | 1609448802
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Entity Type | Organization
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Legal Business Name | TODD C RAU MD INC
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 1467 FORD ST STE 101
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City | REDLANDS
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State | CA
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Zip | 92373-3911
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Country | US
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Telephone | 909-792-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1467 FORD ST STE 101
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City | REDLANDS
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State | CA
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Zip | 92373-3911
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Country | US
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Telephone | 909-792-1100
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. KIMBERLY SWANSON
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Credential |
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Telephone | 951-738-0968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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