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General NPI Number Information
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NPI Number | 1063929628
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Entity Type | Organization
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Legal Business Name | THE RAYNE GROUP INC
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 05/03/2025
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Provider Practice Location Address
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Address Line | 317 PARKWAY ST
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-3031
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Country | US
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Telephone | 386-233-3060
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Fax |
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Provider Business Mailing Address
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Address Line | 428 AUBURN DR APT 102
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City | DAYTONA BEACH
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State | FL
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Zip | 32118-3248
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Country | US
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Telephone | 386-216-6184
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Fax | 386-206-1145
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Authorized Official
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Title or Position | PRESIDENT
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Name | GUERLYNE BELLEVUE
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Credential |
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Telephone | 386-233-3060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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