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General NPI Number Information
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NPI Number | 1609582840
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Entity Type | Organization
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Legal Business Name | RAPHA BEHAVIORAL HEALTH CARE INC.
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 09/21/2023
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Provider Practice Location Address
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Address Line | 15080 E BELTWOOD PKWY STE 108
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City | ADDISON
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State | TX
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Zip | 75001-3725
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Country | US
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Telephone | 214-677-6119
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Fax |
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Provider Business Mailing Address
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Address Line | 15080 E BELTWOOD PKWY STE 108
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City | ADDISON
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State | TX
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Zip | 75001-3725
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Country | US
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Telephone | 214-677-6119
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. CHARLES NKEMAKOLAM ORIAKU
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Credential | ADMIN
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Telephone | 214-646-7046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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