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General NPI Number Information
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NPI Number | 1942783147
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Entity Type | Individual
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Provider Name | ERIKA MARIE RAINES NP
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Gender | Female
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 1021 SILVER BLUFF RD
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City | AIKEN
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State | SC
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Zip | 29803-5879
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Country | US
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Telephone | 803-648-0587
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Fax |
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Provider Business Mailing Address
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Address Line | 155 RIDGE MEDICAL PLAZA RD
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City | EDGEFIELD
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State | SC
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Zip | 29824-4531
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Country | US
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Telephone | 803-637-3630
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Fax | 803-637-5348
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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 | RN28051
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 23839
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License Number State | SC
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