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General NPI Number Information
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NPI Number | 1457051591
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Entity Type | Organization
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Legal Business Name | RAPHA WELLNESS AND PRIMARY CARE, LLC
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Dates
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Enumeration Date | 03/07/2023
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 140 DAUGHDRILL STA
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City | FLOWOOD
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State | MS
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Zip | 39232-8406
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Country | US
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Telephone | 601-965-9400
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Fax | 601-965-9418
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Provider Business Mailing Address
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Address Line | 140 DAUGHDRILL STA
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City | FLOWOOD
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State | MS
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Zip | 39232-8406
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Country | US
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Telephone | 601-965-9400
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Fax | 601-965-9418
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Authorized Official
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Title or Position | PAYROLL AND ACCOUNTS SPECIALIST
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Name | MRS. NATALIE MICHELLE ALEXANDER
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Credential |
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Telephone | 601-965-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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