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General NPI Number Information
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NPI Number | 1811390198
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Entity Type | Organization
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Legal Business Name | J RANDALL RAUH MD INC
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 11/22/2016
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Provider Practice Location Address
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Address Line | 330 ROGER LN STE 4
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City | MILES CITY
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State | MT
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Zip | 59301-9239
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Country | US
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Telephone | 406-324-7660
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Fax | 406-234-7664
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Provider Business Mailing Address
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Address Line | 330 ROGER LN STE 4
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City | MILES CITY
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State | MT
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Zip | 59301-9239
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Country | US
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Telephone | 406-234-7660
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Fax | 406-234-7664
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. J RAUH
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Credential | M.D.
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Telephone | 406-234-7660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0000X
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Taxonomy Name | Obstetrics Physician
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License Number |
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License Number State |
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