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General NPI Number Information
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NPI Number | 1275851032
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Entity Type | Individual
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Provider Name | MICHAEL LEROY RAINS M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2010
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Last Update Date | 12/06/2023
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Provider Practice Location Address
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Address Line | 76 PEACHTREE RD STE 120
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City | ASHEVILLE
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State | NC
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Zip | 28803-5041
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Country | US
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Telephone | 828-677-3128
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Fax | 828-222-6042
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Provider Business Mailing Address
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Address Line | PO BOX 63249
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City | CHARLOTTE
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State | NC
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Zip | 28263-3249
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Country | US
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Telephone | 828-677-3128
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Fax | 828-372-4535
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 2018-01014
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License Number State | NC
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