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General NPI Number Information
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NPI Number | 1710472758
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Entity Type | Individual
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Provider Name | RAGEN LAYNE SMITH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 300 S PEARL ST # B
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City | CARTHAGE
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State | MS
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Zip | 39051-4108
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Country | US
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Telephone | 601-298-0333
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Fax | 601-298-0797
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Provider Business Mailing Address
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Address Line | PO BOX 23996
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City | JACKSON
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State | MS
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Zip | 39225-3996
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Country | US
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Telephone | 601-206-6100
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Fax | 601-206-6052
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 902627
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License Number State | MS
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