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General NPI Number Information
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NPI Number | 1922678853
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Entity Type | Organization
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Legal Business Name | RAPHA HEALTH AND WELLNESS CENTER, LLC
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Dates
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Enumeration Date | 07/01/2021
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 3309 SW 34TH CIR
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City | OCALA
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State | FL
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Zip | 34474-3392
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Country | US
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Telephone | 904-434-0739
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Fax |
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Provider Business Mailing Address
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Address Line | 13 CROSSANDRA DR
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City | HOMOSASSA
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State | FL
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Zip | 34446-8416
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Country | US
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Telephone | 904-434-0739
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY PAULLIN
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Credential | ARNP
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Telephone | 904-434-0739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | 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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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