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General NPI Number Information
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NPI Number | 1508747957
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Entity Type | Organization
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Legal Business Name | RAKI MARINA 1
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 10526 MARINA WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-5713
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Country | US
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Telephone | 617-340-8693
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Fax | 781-658-2096
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Provider Business Mailing Address
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Address Line | 10526 MARINA WAY
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City | BOCA RATON
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State | FL
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Zip | 33428-5713
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Country | US
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Telephone | 617-340-8693
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Fax | 781-658-2096
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | MRS. VALENTINA AKYOL
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Credential | PA-C
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Telephone | 781-535-4386
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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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 | 202D00000X
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Taxonomy Name | Integrative Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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