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General NPI Number Information
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NPI Number | 1982595658
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Entity Type | Organization
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Legal Business Name | DANIEL RAPHA LLC
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 07/11/2025
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Provider Practice Location Address
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Address Line | 21751 SW 98TH AVE
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City | CUTLER BAY
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State | FL
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Zip | 33190-1182
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Country | US
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Telephone | 785-530-6991
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Fax |
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Provider Business Mailing Address
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Address Line | 18495 S DIXIE HWY PMB 367
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City | CUTLER BAY
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State | FL
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Zip | 33157-6817
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Country | US
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Telephone | 785-530-6991
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Fax |
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Authorized Official
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Title or Position | LICENSED COUNSELOR MANAGER
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Name | DANIEL R SANTIAGO
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Credential |
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Telephone | 305-879-3948
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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