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General NPI Number Information
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NPI Number | 1013725860
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Entity Type | Organization
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Legal Business Name | RAYMA HEALTH PLLC
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Dates
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Enumeration Date | 12/26/2024
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | 5810 BAKER RD STE 100
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City | MINNETONKA
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State | MN
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Zip | 55345-5941
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Country | US
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Telephone | 763-299-7111
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Fax | 612-416-0053
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Provider Business Mailing Address
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Address Line | 202 N CEDAR AVE STE 1
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City | OWATONNA
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State | MN
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Zip | 55060-2306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS ALICIA ANASTASIA HICKSON
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Credential | MD,PA,NP,DO
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Telephone | 763-299-7111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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