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NPI 1942680202

NPI 1942680202 : RAYLINGHOU : NEWTOWN SQUARE, PA

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General NPI Number Information
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    NPI Number           |    1942680202
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAYLINGHOU 
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Dates
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    Enumeration Date     |    06/02/2015
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    Last Update Date     |    06/02/2015
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Provider Practice Location Address
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    Address Line         |    824 HUNT RD 
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    City                 |    NEWTOWN SQUARE
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    State                |    PA
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    Zip                  |    19073-3522
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    Country              |    US
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    Telephone            |    610-662-6858
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    237 W LANCASTER AVE STE 231 
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    City                 |    DEVON
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    State                |    PA
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    Zip                  |    19333-1590
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    Country              |    US
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    Telephone            |    610-662-6858
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    Fax                  |    
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Authorized Official
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    Title or Position    |    THERAPIST
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    Name                 |    MS. RAYLING  HOU 
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    Credential           |    LMFT
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    Telephone            |    610-662-6858
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    MF000219
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    License Number State |    PA
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