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General NPI Number Information
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NPI Number | 1013312636
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Entity Type | Individual
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Provider Name | ALLYSON LEIGH RAINER AU.D.
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Gender | Female
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 5646 OLD PASCAGOULA RD SUITE B
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City | MOBILE
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State | AL
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Zip | 36619-2134
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Country | US
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Telephone | 251-653-1112
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Fax | 251-653-3128
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Provider Business Mailing Address
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Address Line | PO BOX 17167
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City | HATTIESBURG
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State | MS
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Zip | 39404-7167
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Country | US
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Telephone | 601-261-5995
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Fax | 601-261-5335
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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 | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 80715
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | 1160A
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 237600000X
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Taxonomy Name | Audiologist-Hearing Aid Fitter
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License Number | A4047
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License Number State | MS
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