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General NPI Number Information
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NPI Number | 1871304717
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Entity Type | Organization
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Legal Business Name | RAPHA PHYSICAL THERAPY & WELLNESS
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1064 POPLAR BLVD
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City | RIVERSIDE
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State | IA
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Zip | 52327-9234
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Country | US
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Telephone | 314-680-3719
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Fax |
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Provider Business Mailing Address
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Address Line | 1064 POPLAR BLVD
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City | RIVERSIDE
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State | IA
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Zip | 52327-9234
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Country | US
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Telephone | 314-680-3719
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MORIAH S DELP
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Credential | MPT
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Telephone | 314-680-3719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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