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General NPI Number Information
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NPI Number | 1639538960
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Entity Type | Individual
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Provider Name | MS. ALANNAH WRAY
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Gender | Female
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Dates
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Enumeration Date | 02/15/2016
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 2989 BROADMOOR VALLEY RD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80906-4403
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Country | US
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Telephone | 785-256-9096
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Fax | 913-674-0963
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Provider Business Mailing Address
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Address Line | 1106 N 155TH ST STE B
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City | BASEHOR
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State | KS
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Zip | 66007-7100
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Country | US
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Telephone | 913-662-7071
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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