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General NPI Number Information
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NPI Number | 1891826269
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Entity Type | Individual
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Provider Name | CHARLES SCOTT RASMUSSEN D.O.
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Gender | Male
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 03/07/2024
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Provider Practice Location Address
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Address Line | 310 E WALNUT ST
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City | GARDEN CITY
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State | KS
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Zip | 67846-5572
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Country | US
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Telephone | 620-275-9752
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Fax | 620-275-4306
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Provider Business Mailing Address
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Address Line | 525 BRANSON LANDING BLVD STE. 508
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City | BRANSON
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State | MO
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Zip | 65616-2052
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Country | US
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Telephone | 417-335-7540
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Fax | 417-335-7588
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DR.0061567
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2005019384
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 05-45220
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License Number State | KS
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