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General NPI Number Information
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NPI Number | 1811424591
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Entity Type | Individual
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Provider Name | LAUREN MARIE KENDALL RAUCHFUSS M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/12/2017
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 7350 SAND LAKE CMN STE 2212B
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City | ORLANDO
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State | FL
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Zip | 32819-8031
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Country | US
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Telephone | 689-500-4016
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Fax |
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Provider Business Mailing Address
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Address Line | 7350 SAND LAKE CMN STE 2212B
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City | ORLANDO
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State | FL
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Zip | 32819-8031
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Country | US
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Telephone | 689-500-4016
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 28779
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 64115
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | ME168955
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License Number State | FL
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