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General NPI Number Information
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NPI Number | 1750227443
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Entity Type | Organization
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Legal Business Name | RAVA HEALTHCARE LLC
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 1703 PEYCO DR N # B
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City | ARLINGTON
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State | TX
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Zip | 76001-6701
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Country | US
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Telephone | 682-564-4685
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Fax |
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Provider Business Mailing Address
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Address Line | 7248 PORTILLO
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City | GRAND PRAIRIE
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State | TX
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Zip | 75054-0073
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Country | US
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Telephone | 682-564-4685
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Fax |
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Authorized Official
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Title or Position | NP
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Name | TITILOPE WITEMIRE
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Credential |
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Telephone | 682-564-4685
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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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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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