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General NPI Number Information
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NPI Number | 1760710644
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Entity Type | Organization
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Legal Business Name | MARY E. RAUM, M.D.P.A.
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Dates
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Enumeration Date | 12/03/2009
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Last Update Date | 12/03/2009
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Provider Practice Location Address
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Address Line | 40 SW 12TH ST C202
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City | OCALA
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State | FL
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Zip | 34471-6525
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Country | US
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Telephone | 352-351-5640
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Fax | 352-351-2967
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Provider Business Mailing Address
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Address Line | 40 SW 12TH ST C202
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City | OCALA
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State | FL
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Zip | 34471-6525
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Country | US
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Telephone | 352-351-5640
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Fax | 352-351-2967
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARY ELWYN RAUM
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Credential | M.D.
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Telephone | 352-351-5640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | ME00036829
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License Number State | FL
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