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General NPI Number Information
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NPI Number | 1619767217
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Entity Type | Individual
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Provider Name | EMMANUEL ERIC RASCO RN
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Gender | Male
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 9901 MEDICAL CENTER DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-3357
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Country | US
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Telephone | 240-826-6202
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Fax |
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Provider Business Mailing Address
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Address Line | 11210 WHITE BARN CT
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3146
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Country | US
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Telephone | 305-219-3574
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Fax |
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | RN500013379
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | R256523
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License Number State | MD
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