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General NPI Number Information
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NPI Number | 1679803449
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Entity Type | Individual
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Provider Name | DOROTHY ANN RAY NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/30/2009
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 1711 E CENTRAL TEXAS EXPY STE 300D
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City | KILLEEN
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State | TX
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Zip | 76541-9147
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Country | US
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Telephone | 254-432-4338
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Fax | 254-432-4297
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Provider Business Mailing Address
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Address Line | 308 N GRAY ST
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City | KILLEEN
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State | TX
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Zip | 76541-5245
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Country | US
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Telephone | 254-432-4338
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Fax | 254-432-4297
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4606
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 74754
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License Number State | TX
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