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General NPI Number Information
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NPI Number | 1578991691
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Entity Type | Organization
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Legal Business Name | DAVID L. RAFFLE, PHD, INC., A PSYCHOLOGICAL CORPORATION
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Dates
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Enumeration Date | 10/29/2013
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Last Update Date | 08/08/2025
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Provider Practice Location Address
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Address Line | 354 ULUNIU ST STE 412
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City | KAILUA
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State | HI
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Zip | 96734-2533
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Country | US
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Telephone | 800-450-9799
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Fax | 317-947-1614
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Provider Business Mailing Address
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Address Line | PO BOX 489
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City | KAILUA
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State | HI
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Zip | 96734-0489
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Country | US
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Telephone | 800-450-9799
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Fax | 317-947-1614
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID L. RAFFLE
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Credential | PH.D.
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Telephone | 800-450-9799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY25732
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License Number State | CA
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