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General NPI Number Information
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NPI Number | 1699354266
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Entity Type | Organization
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Legal Business Name | RAPHA MATTERS
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Dates
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Enumeration Date | 04/02/2021
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 8201 CORPORATE DR STE 630
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City | HYATTSVILLE
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State | MD
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Zip | 20785-2371
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Country | US
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Telephone | 410-213-5494
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Fax | 877-310-8005
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Provider Business Mailing Address
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Address Line | 8201 CORPORATE DR STE 630
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City | HYATTSVILLE
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State | MD
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Zip | 20785-2371
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Country | US
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Telephone | 410-213-5494
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Fax | 877-310-8005
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Authorized Official
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Title or Position | CEO
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Name | OBINNA HERBERTS NWAEHIHE
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Credential |
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Telephone | 202-644-6886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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