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General NPI Number Information
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NPI Number | 1942422019
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Entity Type | Organization
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Legal Business Name | RASCHE ASSOCIATES, P.C.
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 03/13/2020
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Provider Practice Location Address
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Address Line | 3580 HABERSHAM AT NORTHLAKE
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City | TUCKER
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State | GA
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Zip | 30084-4009
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Country | US
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Telephone | 770-493-8282
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Fax |
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Provider Business Mailing Address
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Address Line | 2423 NORWICH LN
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City | TUCKER
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State | GA
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Zip | 30084-3917
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Country | US
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Telephone | 770-493-8282
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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. RICHARD W. RASCHE
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Credential | PH.D.
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Telephone | 770-493-8282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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