# DR. SUSAN L RABEN-TAYLOR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780613489
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | N-7882 | AR | Yes |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | N-7882 | AR | — |
| 208VP0000X | Pain Medicine Physician | N-7882 | AR | — |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 03/20/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 12990 | QUALCHOICE INSURANCE ID\# | AR |