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Individual
RAQUEL L DUDDERAR
Active
Individual
RAQUEL L DUDDERAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A122853
CA
207R00000X
Internal Medicine Physician
C1-9517
DE
208M00000X
Hospitalist Physician
Primary
A122853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A122853
MEDICAL STATE LICENSE
CA
Enumeration date
10/01/2007
Last updated
03/16/2020
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