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General NPI Number Information
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NPI Number | 1295741460
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Entity Type | Individual
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Provider Name | RAYMOND CAMPBELL MCKOY D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 310 W 10TH ST NE
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City | ROME
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State | GA
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Zip | 30165-2639
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Country | US
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Telephone | 706-802-8400
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Fax | 706-622-2890
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Provider Business Mailing Address
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Address Line | 310 W 10TH ST NE
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City | ROME
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State | GA
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Zip | 30165-2639
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Country | US
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Telephone | 706-802-8400
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Fax | 706-622-2890
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 044532
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 044532
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 044532
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 044532
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 044536
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License Number State | GA
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