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General NPI Number Information
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NPI Number | 1972032167
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Entity Type | Individual
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Provider Name | NICHOLLAS RAYFIELD LPC
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Gender | Male
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Dates
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Enumeration Date | 06/09/2017
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Last Update Date | 07/26/2023
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Provider Practice Location Address
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Address Line | 2307 MARTIN LUTHER KING JR AVE SE
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City | WASHINGTON
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State | DC
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Zip | 20020-5813
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Country | US
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Telephone | 202-525-4844
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Fax |
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Provider Business Mailing Address
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Address Line | 145 CENTURY DR APT 5209
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City | ALEXANDRIA
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State | VA
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Zip | 22304-5790
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Country | US
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Telephone | 504-909-7789
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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