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General NPI Number Information
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NPI Number | 1841738184
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Entity Type | Individual
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Provider Name | ALAYNA KAY FIFE
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Gender | Female
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Dates
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Enumeration Date | 02/07/2017
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Last Update Date | 07/31/2018
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Provider Practice Location Address
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Address Line | 1940 KARLY CT
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City | PANAMA CITY
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State | FL
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Zip | 32405-1469
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Country | US
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Telephone | 850-890-9025
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Fax |
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Provider Business Mailing Address
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Address Line | 2416 W 11TH ST
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City | PANAMA CITY
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State | FL
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Zip | 32401-1635
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Country | US
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Telephone | 850-890-9025
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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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Taxonomy #2
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State | FL
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