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General NPI Number Information
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NPI Number | 1801970629
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Entity Type | Organization
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Legal Business Name | RAPHA NURSING AGENCY INC.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 07/15/2008
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Provider Practice Location Address
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Address Line | 19930 HOLLIS AVE
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City | SAINT ALBANS
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State | NY
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Zip | 11412-1232
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Country | US
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Telephone | 718-479-3452
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Fax | 718-776-0708
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Provider Business Mailing Address
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Address Line | 19930 HOLLIS AVE
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City | SAINT ALBANS
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State | NY
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Zip | 11412-1232
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Country | US
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Telephone | 718-479-3452
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Fax | 718-776-0708
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Authorized Official
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Title or Position | FOUNDER/ CEO
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Name | MS. GRACE H COOPER
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Credential | RN BSN
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Telephone | 718-479-3452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 1233532
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License Number State | NY
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