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General NPI Number Information
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NPI Number | 1386177673
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Entity Type | Individual
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Provider Name | ALYNDA RANDOLPH PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2017
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Last Update Date | 11/28/2025
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Provider Practice Location Address
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Address Line | 1234 3RD AVE S
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City | BIRMINGHAM
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State | AL
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Zip | 35233-1311
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Country | US
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Telephone | 205-202-1151
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Fax |
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Provider Business Mailing Address
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Address Line | 8168 ELLIOTT RD STE 1
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City | EASTON
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State | MD
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Zip | 21601-7111
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Country | US
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Telephone | 205-202-1151
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 07006
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY004374
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License Number State | GA
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