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General NPI Number Information
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NPI Number | 1477322634
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Entity Type | Individual
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Provider Name | CLAYTON RAINIE DPT, PT
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Gender | Male
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 32 WINDWARD DR STE 110
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City | FISHERSVILLE
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State | VA
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Zip | 22939-2174
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Country | US
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Telephone | 540-949-5383
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Fax |
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT41234
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTL27540
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305211227
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License Number State | VA
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