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General NPI Number Information
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NPI Number | 1033840319
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Entity Type | Individual
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Provider Name | RAYNESHA FRANKLIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/18/2022
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 4505 ASHFORD DUNWOODY RD NE STE 15B
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City | DUNWOODY
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State | GA
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Zip | 30346-1516
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Country | US
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Telephone | 770-800-3353
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Fax |
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Provider Business Mailing Address
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Address Line | 6282 DENNY LN SW
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City | MABLETON
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State | GA
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Zip | 30126-4916
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Country | US
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Telephone | 678-656-3721
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 12514
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License Number State | GA
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