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General NPI Number Information
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NPI Number | 1902530660
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Entity Type | Individual
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Provider Name | MICHELLE RALEIGH NP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2022
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 5032 LOCH DR
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City | UNION
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State | KY
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Zip | 41091-1485
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Country | US
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Telephone | 859-360-4231
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Fax | 859-212-0308
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Provider Business Mailing Address
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Address Line | 8 APPLE BLOSSOM LN
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City | ALEXANDRIA
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State | KY
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Zip | 41001-1202
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Country | US
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Telephone | 859-360-4231
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3017464
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License Number State | KY
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