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Individual
AUDELL W RAY
Active
Individual
AUDELL W RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
125693
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00519728
—
NY
01
—
90124
US HEALTHCARE
NY
01
—
WS044
OXFORD
NY
Enumeration date
08/22/2006
Last updated
07/08/2007
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