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General NPI Number Information
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NPI Number | 1902144025
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Entity Type | Individual
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Provider Name | CASEY L RAUDENBUSH CRNP
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Gender | Female
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 530 KENHORST BLVD
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City | READING
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State | PA
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Zip | 19611-1716
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Country | US
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Telephone | 610-406-4271
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Fax |
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Provider Business Mailing Address
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Address Line | 230 BUCKHEAD LN
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City | DOUGLASSVILLE
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State | PA
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Zip | 19518-9629
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Country | US
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Telephone | 610-322-9687
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP012723
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License Number State | PA
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