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Individual
DANIEL E RAES
Active
Individual
DANIEL E RAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94-126
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30722
—
NM
01
—
NPI#
BCBS OF NM
NM
Enumeration date
09/29/2005
Last updated
02/09/2011
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