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Individual
DANA P RABIDEAU
Active
Individual
DANA P RABIDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
15018
OK
207RN0300X
Nephrology Physician
Primary
N6097
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221460A
—
OK
05
—
105851001
—
AR
Enumeration date
10/06/2005
Last updated
08/23/2010
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