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General NPI Number Information
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NPI Number | 1235749706
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Entity Type | Individual
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Provider Name | FALENIA RUNAE PAYTON LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/08/2020
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Last Update Date | 08/27/2020
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Provider Practice Location Address
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Address Line | 110 VILLAGE DR
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701-2423
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Country | US
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Telephone | 270-763-0728
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Fax | 270-763-9618
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Provider Business Mailing Address
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Address Line | 5404 S DIXIE HWY
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City | GLENDALE
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State | KY
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Zip | 42740-9711
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Country | US
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Telephone | 615-289-3320
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 265401
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License Number State | KY
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