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General NPI Number Information
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NPI Number | 1750044228
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Entity Type | Individual
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Provider Name | RAZAN RAYES PMHNP - BC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 09/18/2024
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Provider Practice Location Address
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Address Line | 191 S BUENA VISTA ST STE 300
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City | BURBANK
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State | CA
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Zip | 91505-4556
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Country | US
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Telephone | 925-282-1778
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Fax | 415-296-5299
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Provider Business Mailing Address
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Address Line | 191 S BUENA VISTA ST STE 300
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City | BURBANK
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State | CA
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Zip | 91505-4556
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Country | US
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Telephone | 925-282-1778
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Fax | 415-296-5299
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 95256214
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95028283
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License Number State | CA
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