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General NPI Number Information
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NPI Number | 1083630966
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Entity Type | Individual
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Provider Name | ANN MARIE RAFFIS CNP
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Gender | Female
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 12/08/2020
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Provider Practice Location Address
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Address Line | 44 BLAINE AVE SUITE B100
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City | BEDFORD
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State | OH
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Zip | 44146-2709
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Country | US
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Telephone | 440-735-0891
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Fax | 440-735-0894
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Provider Business Mailing Address
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Address Line | 20800 HARVARD RD 2ND FLOOR
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City | HIGHLAND HILLS
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State | OH
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Zip | 44122-7251
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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 |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN185676
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 364SW0102X
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Taxonomy Name | Women's Health Clinical Nurse Specialist
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License Number | RN185676
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 01470NP
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License Number State | OH
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