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General NPI Number Information
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NPI Number | 1922738392
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Entity Type | Individual
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Provider Name | BRETT SCOTT RAYFORD PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 06/16/2022
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Last Update Date | 06/16/2022
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Provider Practice Location Address
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Address Line | 5965 E BROAD ST STE 350
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City | COLUMBUS
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State | OH
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Zip | 43213-1533
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Country | US
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Telephone | 203-645-3156
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Fax |
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Provider Business Mailing Address
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Address Line | 1824 RICHTREE RD
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City | COLUMBUS
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State | OH
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Zip | 43219-1651
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Country | US
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Telephone | 203-645-3156
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 001715
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License Number State | CT
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