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General NPI Number Information
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NPI Number | 1871265140
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Entity Type | Organization
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Legal Business Name | RAPHA CARE
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 03/11/2025
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Provider Practice Location Address
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Address Line | 2296 TORCH LAKE DR
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City | FORNEY
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State | TX
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Zip | 75126-0877
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Country | US
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Telephone | 817-899-2476
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Fax |
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Provider Business Mailing Address
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Address Line | 2296 TORCH LAKE DR
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City | FORNEY
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State | TX
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Zip | 75126-0877
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Country | US
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Telephone | 817-899-2476
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Fax |
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Authorized Official
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Title or Position | ADMINISTATOR / OWNER
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Name | AGATHA DIAI
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Credential |
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Telephone | 817-899-2476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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