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General NPI Number Information
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NPI Number | 1669730511
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Entity Type | Individual
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Provider Name | LAURIE LEIGH RAY WHNP
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Gender | Female
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Dates
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Enumeration Date | 04/29/2012
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Last Update Date | 11/29/2025
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Provider Practice Location Address
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Address Line | 440 MORELAND AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-1926
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Country | US
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Telephone | 404-688-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 440 MORELAND AVE SE
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City | ATLANTA
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State | GA
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Zip | 30316-1926
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Country | US
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Telephone | 404-688-9300
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 080527-23
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN-NP217652
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 421055
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License Number State | NY
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