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General NPI Number Information
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NPI Number | 1124963517
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Entity Type | Organization
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Legal Business Name | RAHI RN WELLNESS CARE PLLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 638 E 169TH ST FRNT 2
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City | BRONX
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State | NY
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Zip | 10456-2411
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Country | US
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Telephone | 917-916-9322
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Fax |
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Provider Business Mailing Address
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Address Line | 140 WADSWORTH AVE APT 23
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City | NEW YORK
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State | NY
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Zip | 10033-4817
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Country | US
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Telephone | 917-916-9322
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBERS
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Name | RAUL ALEJANDRO HERRERA IZQUIERDO
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Credential | MSN, FNP-BC, CMGT-BC
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Telephone | 917-916-9322
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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