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General NPI Number Information
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NPI Number | 1295419695
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Entity Type | Organization
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Legal Business Name | RAPHA HEALTHCARE
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 541A MAIN ST
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City | ROCKPORT
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State | IN
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Zip | 47635-1429
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Country | US
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Telephone | 812-618-1128
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Fax | 812-618-3081
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Provider Business Mailing Address
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Address Line | PO BOX 304
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City | ROCKPORT
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State | IN
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Zip | 47635-0304
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Country | US
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Telephone | 812-618-1128
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Fax | 812-618-3081
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA D BUNNER
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Credential | FNP
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Telephone | 812-618-1128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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