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General NPI Number Information
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NPI Number | 1801779749
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Entity Type | Individual
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Provider Name | RAYMOND MWANJE PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 07/29/2025
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 90 CANAL ST STE 4
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City | BOSTON
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State | MA
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Zip | 02114-2022
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Country | US
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Telephone | 315-873-2936
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Fax |
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Provider Business Mailing Address
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Address Line | 227 CHELMSFORD ST LOWR LEVEL
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City | CHELMSFORD
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State | MA
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Zip | 01824-2305
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Country | US
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Telephone | 781-488-7406
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Fax | 800-887-0802
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | RN2293570
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License Number State | MA
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