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General NPI Number Information
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NPI Number | 1386469690
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Entity Type | Individual
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Provider Name | TERRRY PAYNE
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Gender | Male
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Dates
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Enumeration Date | 11/21/2024
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 215 GRAND AVE SW
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City | FORT PAYNE
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State | AL
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Zip | 35967-1917
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Country | US
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Telephone | 256-254-9628
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Fax |
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Provider Business Mailing Address
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Address Line | 255 ESTATE VIEW DR
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City | FYFFE
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State | AL
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Zip | 35971-3110
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Country | US
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Telephone | 256-605-2972
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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 | 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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