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General NPI Number Information
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NPI Number | 1477470508
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Entity Type | Individual
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Provider Name | KEIRA E. M. RAIN
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Gender | Female
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Dates
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Enumeration Date | 06/30/2026
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Last Update Date | 06/30/2026
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Provider Practice Location Address
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Address Line | 10 W BROADWAY STE 700
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City | SALT LAKE CITY
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State | UT
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Zip | 84101-2060
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Country | US
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Telephone | 385-462-6756
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Fax |
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Provider Business Mailing Address
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Address Line | 242 E 880 S
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City | SANTAQUIN
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State | UT
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Zip | 84655-5565
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Country | US
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Telephone | 760-803-3927
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number | RBT-26-523978
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License Number State | UT
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