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General NPI Number Information
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NPI Number | 1003055849
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Entity Type | Individual
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Provider Name | RYAN N REED PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 09/13/2021
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Provider Practice Location Address
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Address Line | 7MARREGT MCAGCC 29 PALMS
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92278
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Country | US
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Telephone | 619-838-4260
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Fax |
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Provider Business Mailing Address
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Address Line | 7MARREGT MCAGCC 29 PALMS
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City | TWENTYNINE PALMS
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State | CA
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Zip | 92278
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Country | US
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Telephone | 619-838-4260
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 0810005632
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License Number State | VA
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