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General NPI Number Information
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NPI Number | 1861899437
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Entity Type | Individual
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Provider Name | GINGER RAFF
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Gender | Female
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 7164 HACKS CROSS RD STE 105
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City | OLIVE BRANCH
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State | MS
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Zip | 38654-3919
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Country | US
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Telephone | 901-755-5300
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Fax | 901-753-9659
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Provider Business Mailing Address
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Address Line | PO BOX 2757
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City | CORDOVA
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State | TN
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Zip | 38088-2757
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Country | US
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Telephone | 901-755-5300
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Fax | 901-753-9659
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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 | R872946
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License Number State | MS
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