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General NPI Number Information
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NPI Number | 1033511290
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Entity Type | Individual
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Provider Name | DENA PAYN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 1211 PALMYRA RD
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City | ALBANY
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State | GA
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Zip | 31701-1935
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Country | US
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Telephone | 229-439-8686
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Fax |
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Provider Business Mailing Address
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Address Line | 36900 SWEETWOOD RD
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City | SHAWNEE
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State | OK
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Zip | 74801-2002
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Country | US
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Telephone | 832-326-1556
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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