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General NPI Number Information
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NPI Number | 1487683454
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Entity Type | Individual
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Provider Name | EMILY J RAYES-PRINCE M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/02/2006
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 2208 W ROOSEVELT BLVD
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City | MONROE
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State | NC
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Zip | 28110-2762
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Country | US
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Telephone | 704-289-9869
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Fax |
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Provider Business Mailing Address
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Address Line | 108 GROVE ST STE 200
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City | WORCESTER
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State | MA
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Zip | 01605-2651
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Country | US
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Telephone | 833-963-2102
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 33653
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | KY33653
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | 2009-01802
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 33653
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License Number State | KY
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