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General NPI Number Information
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NPI Number | 1528851946
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Entity Type | Individual
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Provider Name | MCKAYLA ELIZABETH MCCRAY
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 5704 EUPER LN STE 100
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City | FORT SMITH
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State | AR
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Zip | 72903-3256
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Country | US
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Telephone | 479-242-4480
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Fax |
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Provider Business Mailing Address
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Address Line | 7500 SAN FELIPE ST STE 990
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City | HOUSTON
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State | TX
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Zip | 77063-1708
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Country | US
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Telephone | 866-610-0580
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Fax | 866-611-1558
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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 |
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License Number State |
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