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General NPI Number Information
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NPI Number | 1942252325
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Entity Type | Organization
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Legal Business Name | JOHN L. RAUSCH, MD, INC.
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Dates
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Enumeration Date | 05/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 629 KAILUA RD SUITE 205
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City | KAILUA
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State | HI
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Zip | 96734-2853
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Country | US
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Telephone | 808-592-1054
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Fax |
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Provider Business Mailing Address
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Address Line | 151 LANIPO DR
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City | KAILUA
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State | HI
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Zip | 96734-3228
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Country | US
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Telephone | 808-262-4203
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN L RAUSCH
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Credential | M.D.
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Telephone | 808-592-1054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | MD 5461
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License Number State | HI
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