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General NPI Number Information
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NPI Number | 1972507739
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Entity Type | Individual
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Provider Name | ELAINE M RAWSKY GNP
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Gender | Female
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Dates
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Enumeration Date | 06/09/2005
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3399 E GRAND RIVER AVE STE 204
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City | HOWELL
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State | MI
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Zip | 48843-7555
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Country | US
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Telephone | 517-540-0709
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Fax | 517-540-1775
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Provider Business Mailing Address
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Address Line | 3399 E GRAND RIVER AVE STE 204
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City | HOWELL
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State | MI
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Zip | 48843-7555
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Country | US
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Telephone | 517-540-0709
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Fax | 517-540-1775
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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 | 163WG0100X
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Taxonomy Name | Gastroenterology Registered Nurse
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 163WG0100X
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Taxonomy Name | Gastroenterology Registered Nurse
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License Number | 4704147728
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4704147728
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License Number State | MI
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