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General NPI Number Information
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NPI Number | 1144554544
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Entity Type | Individual
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Provider Name | STUART E RAYNER M.MFT, IMFT, LSW
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Gender | Male
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Dates
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Enumeration Date | 10/01/2009
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Last Update Date | 10/01/2009
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Provider Practice Location Address
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Address Line | 106 WELLINGTON PL
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City | CINCINNATI
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State | OH
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Zip | 45219-1710
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Country | US
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Telephone | 513-721-1500
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Fax | 513-977-4894
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Provider Business Mailing Address
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Address Line | 106 WELLINGTON PL
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City | CINCINNATI
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State | OH
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Zip | 45219-1710
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Country | US
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Telephone | 513-721-1500
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Fax | 513-977-4894
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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 | 104100000X
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Taxonomy Name | Social Worker
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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