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General NPI Number Information
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NPI Number | 1932932829
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Entity Type | Organization
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Legal Business Name | RAYMEX WELLNESS LLC
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Dates
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Enumeration Date | 08/26/2024
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 10 DORRANCE ST STE 700
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City | PROVIDENCE
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State | RI
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Zip | 02903-2014
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Country | US
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Telephone | 617-419-0482
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Fax |
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Provider Business Mailing Address
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Address Line | 33 HOLMAN ST APT A
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City | ATTLEBORO
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State | MA
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Zip | 02703-3033
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Country | US
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Telephone | 617-922-4626
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC MENTAL HEALTH NURSE PRA
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Name | MR. NNEMEKA A OKPALA
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Credential | PMHNP
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Telephone | 617-922-4626
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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 |
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License Number State |
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