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General NPI Number Information
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NPI Number | 1346812260
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Entity Type | Individual
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Provider Name | DOUGLAS RAY MINGS LPP
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Gender | Male
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 445 THOMPSON AVE
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City | MADISONVILLE
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State | KY
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Zip | 42431-1293
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Country | US
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Telephone | 270-339-8356
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Fax |
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Provider Business Mailing Address
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Address Line | 237 GRANDSTAND BLVD
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City | GALLATIN
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State | TN
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Zip | 37066-4928
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Country | US
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Telephone | 270-339-8356
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 252219
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License Number State | KY
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