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General NPI Number Information
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NPI Number | 1518743707
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Entity Type | Individual
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Provider Name | ASHLEY MARIE RAINFORD PH.D.
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Gender | Female
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Dates
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Enumeration Date | 09/05/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 622 W 168TH ST PH 151540H
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City | NEW YORK
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State | NY
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Zip | 10032-3720
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Country | US
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Telephone | 212-305-5515
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Fax |
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Provider Business Mailing Address
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Address Line | 820 W END AVE APT 1E
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City | NEW YORK
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State | NY
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Zip | 10025-5326
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Country | US
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Telephone | 917-826-7607
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 026048
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License Number State | NY
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