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General NPI Number Information
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NPI Number | 1578587176
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Entity Type | Individual
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Provider Name | RHETT K RAINEY DO
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Gender | Male
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 01/05/2025
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Provider Practice Location Address
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Address Line | 133 W ATHENS ST STE I
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City | WINDER
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State | GA
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Zip | 30680-1785
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Country | US
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Telephone | 770-867-2120
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Fax | 770-867-2140
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Provider Business Mailing Address
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Address Line | PO BOX 1394
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City | WINDER
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State | GA
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Zip | 30680-1394
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Country | US
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Telephone | 770-867-2120
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Fax | 770-867-2140
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 050830
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License Number State | GA
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