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General NPI Number Information
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NPI Number | 1477354397
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Entity Type | Organization
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Legal Business Name | RAPHA WELLNESS LLC
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Dates
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Enumeration Date | 03/24/2025
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 5765 N TOWERS DR
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City | RIMROCK
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State | AZ
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Zip | 86335-6219
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Country | US
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Telephone | 315-717-7898
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 11
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City | RIMROCK
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State | AZ
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Zip | 86335-0011
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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 | OWNER
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Name | CHASCITY MONROE
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Credential |
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Telephone | 928-284-2658
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number |
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License Number State |
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