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General NPI Number Information
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NPI Number | 1083385660
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Entity Type | Individual
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Provider Name | RAYENA MCLAUGHLIN PA
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Gender | Female
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 171 ASHLEY AVE
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City | CHARLESTON
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State | SC
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Zip | 29425-0100
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Country | US
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Telephone | 843-792-1414
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Fax |
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Provider Business Mailing Address
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Address Line | 4505 ROSEMAN TRL
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City | CUMMING
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State | GA
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Zip | 30040-8967
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Country | US
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Telephone |
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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 | 0010-11734
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5166
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License Number State | SC
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