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General NPI Number Information
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NPI Number | 1730009408
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Entity Type | Individual
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Provider Name | JOHNNIE RAYMOND
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Gender | Female
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Dates
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Enumeration Date | 07/21/2026
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 201 W DAYTON DR
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City | FAIRBORN
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State | OH
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Zip | 45324-4620
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Country | US
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Telephone | 937-318-8918
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Fax |
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Provider Business Mailing Address
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Address Line | 100 CROWNE POINT PL
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City | CINCINNATI
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State | OH
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Zip | 45241-5427
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Country | US
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Telephone | 513-743-7628
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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 | 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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