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General NPI Number Information
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NPI Number | 1821295478
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Entity Type | Organization
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Legal Business Name | DR. RAUT AND ASSOCIATES, P.A.
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Dates
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Enumeration Date | 06/28/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 830 DAVIS DR
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City | CHESTER
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State | SC
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Zip | 29706-7700
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Country | US
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Telephone | 803-377-1171
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Fax | 803-377-1172
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Provider Business Mailing Address
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Address Line | 830 DAVIS DR
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City | CHESTER
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State | SC
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Zip | 29706-7700
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Country | US
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Telephone | 803-377-1171
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Fax | 803-377-1172
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Authorized Official
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Title or Position | OWNER
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Name | DR. PREMANAND S RAUT
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Credential | MD
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Telephone | 803-377-1171
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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 | 10208
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 10209
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License Number State | SC
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