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General NPI Number Information
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NPI Number | 1548928203
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Entity Type | Individual
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Provider Name | NICOLE KAY RAFFEL CNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 10500 MONTGOMERY RD STE 6345
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City | MONTGOMERY
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State | OH
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Zip | 45242-4402
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Country | US
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Telephone | 513-865-5167
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Fax | 513-865-5175
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Provider Business Mailing Address
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Address Line | 10500 MONTGOMERY RD STE 6345
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City | MONTGOMERY
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State | OH
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Zip | 45242-4402
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Country | US
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Telephone | 513-865-5167
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Fax | 513-865-5175
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | CNP.0030190
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License Number State | OH
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