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General NPI Number Information
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NPI Number | 1578500609
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Entity Type | Individual
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Provider Name | PAUL I RAY PT-ECS
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Gender | Male
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 247 S MAIN ST
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City | REIDSVILLE
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State | GA
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Zip | 30453-4605
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Country | US
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Telephone | 912-557-1000
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Fax | 912-644-3369
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Provider Business Mailing Address
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Address Line | 210 E. DERENNE AVE
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City | SAVANNAH
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State | GA
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Zip | 31405
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Country | US
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Telephone | 912-644-5300
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Fax | 912-644-3369
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | PT003630
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License Number State | GA
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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 | PT003630
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2251E1300X
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Taxonomy Name | Clinical Electrophysiology Physical Therapist
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License Number |
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License Number State |
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