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NPI 1346388139

NPI 1346388139 : REBECCA PAYTON : GRAYSON, KY

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General NPI Number Information
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    NPI Number           |    1346388139
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA PAYTON
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/02/2007
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    Last Update Date     |    11/10/2014
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Provider Practice Location Address
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    Address Line         |    100 RUTH ST 
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    City                 |    GRAYSON
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    State                |    KY
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    Zip                  |    41143-1337
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    Country              |    US
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    Telephone            |    606-474-2596
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 790 
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    City                 |    ASHLAND
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    State                |    KY
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    Zip                  |    41105-0790
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    Country              |    US
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    Telephone            |    606-329-8588
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    Fax                  |    606-329-8195
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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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