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NPI Code Detail

MEDICARE: MR. FRANK ORLANDO RAS

MEDICARE: MR. FRANK ORLANDO RAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorRASO0504111019CA

General Provider Information

NPI Number : 1841310281
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. FRANK ORLANDO RAS
Provider Business Mailing Address
First Line : 7397 BORIS CT
Second Line :
City : ROHNERT PARK
State : CA
Zip : 94928-3871
Country : US
Telephone Number : 707-793-1040
Fax Number :
Provider Business Practice Location Address
First Line : 1901 CLEVELAND AVE
Second Line : SUITE B
City : SANTA ROSA
State : CA
Zip : 95401-4282
Country : US
Telephone Number : 707-576-0818
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/08/2007

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