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General NPI Number Information
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NPI Number | 1609812163
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Entity Type | Individual
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Provider Name | JOYCE ANN RASZEWSKI ADVANCED PRACTITCE
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 755 SCOTT CIRCLE
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City | JBPHH/HICKAM
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State | HI
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Zip | 96853
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Country | US
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Telephone | 315-448-6121
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Fax | 315-448-6133
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Provider Business Mailing Address
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Address Line | 91-030 MUUMUU PL
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City | EWA BEACH
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State | HI
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Zip | 96706-2414
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Country | US
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Telephone | 443-370-5343
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Fax | 808-691-9496
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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 | APRN 322
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License Number State | HI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | R059806
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN9259620
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License Number State | FL
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