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General NPI Number Information
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NPI Number | 1023665619
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Entity Type | Individual
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Provider Name | KATRINA RAAF P.A.-C
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Gender | Female
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 6438 WILMINGTON PIKE, ST 110
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City | CENTERVILLE
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State | OH
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Zip | 45459
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Country | US
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Telephone | 937-848-4121
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Fax | 937-848-5965
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Provider Business Mailing Address
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Address Line | 6438 WILMINGTON PIKE STE 110
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City | DAYTON
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State | OH
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Zip | 45459-7021
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Country | US
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Telephone | 937-848-4121
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Fax | 937-848-5965
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.006085RX
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License Number State | OH
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