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General NPI Number Information
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NPI Number | 1942412168
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Entity Type | Organization
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Legal Business Name | GERALD A. RAHN, MD., LLC
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 822 W 1ST ST
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City | BLOOMINGTON
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State | IN
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Zip | 47403-2384
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Country | US
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Telephone | 812-337-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 417 W 6TH ST
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City | BLOOMINGTON
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State | IN
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Zip | 47404-3915
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Country | US
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Telephone | 812-334-1333
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Fax | 812-334-1444
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GERALD A RAHN
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Credential | MD
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Telephone | 812-334-1333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 01031820
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License Number State | IN
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