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Individual
CAROLINE ELIZABETH ROUSE
Active
Individual
CAROLINE ELIZABETH ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
01078682A
IN
207V00000X
Obstetrics & Gynecology Physician
ML60156663
WA
207VM0101X
Maternal & Fetal Medicine Physician
01078682A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300005054
—
IN
01
—
896330036
MEDICARE PTAN
IN
Enumeration date
04/14/2010
Last updated
03/06/2025
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