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Individual
ALLEN K RAICH
Active
Individual
ALLEN K RAICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
TNDPM228
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3351106
—
TN
01
—
4106735
BLUE SHIELD
TN
01
—
621362430
TAX ID
TN
01
—
P00276068
RAILROAD MEDICARE
TN
Enumeration date
09/20/2006
Last updated
03/04/2014
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