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General NPI Number Information
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NPI Number | 1003630500
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Entity Type | Individual
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Provider Name | LAMYRA KANTRAIL RAYNER-MCGEE NCSP
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 705 TIDE CREEK DR SW
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City | MADISON
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State | AL
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Zip | 35756-5411
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Country | US
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Telephone | 985-503-2869
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Fax |
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Provider Business Mailing Address
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Address Line | 705 TIDE CREEK DR SW
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City | MADISON
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State | AL
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Zip | 35756-5411
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Country | US
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Telephone | 985-503-2869
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 72553
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | ALC04977
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License Number State | AL
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