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General NPI Number Information
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NPI Number | 1336171750
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Entity Type | Individual
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Provider Name | JOANNE WHITE RAY PHD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8650 MINNIE BROWN RD STE 14
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City | MONTGOMERY
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State | AL
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Zip | 36117
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Country | US
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Telephone | 334-834-2488
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Fax | 334-215-4532
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Provider Business Mailing Address
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Address Line | PO BOX 242301
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City | MONTGOMERY
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State | AL
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Zip | 36124-2301
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Country | US
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Telephone | 334-834-2488
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Fax | 334-215-4532
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | AL834
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License Number State | AL
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