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General NPI Number Information
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NPI Number | 1982013199
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Entity Type | Individual
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Provider Name | RAUDE YEPEZ CSFA
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Gender | Male
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Dates
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Enumeration Date | 08/13/2014
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 7501 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77054-1938
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Country | US
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Telephone | 713-375-7000
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Fax | 713-375-7205
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Provider Business Mailing Address
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Address Line | 10103 MARISA ALEXIS DR
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City | HOUSTON
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State | TX
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Zip | 77075-4693
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Country | US
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Telephone | 713-906-6544
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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 | 246ZC0007X
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Taxonomy Name | Surgical Assistant
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License Number | 151336
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License Number State | CO
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