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General NPI Number Information
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NPI Number | 1821733460
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Entity Type | Individual
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Provider Name | RYLEE WAINWRIGHT PA-C
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Gender | Female
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 922 E CALL ST STE 100
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City | STARKE
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State | FL
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Zip | 32091-3616
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Country | US
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Telephone | 904-364-2900
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Fax | 904-364-2901
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Provider Business Mailing Address
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Address Line | 23476 NW 186TH AVE
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City | HIGH SPRINGS
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State | FL
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Zip | 32643-0673
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Country | US
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Telephone | 386-454-0698
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Fax | 386-454-0690
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9116473
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License Number State | FL
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