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General NPI Number Information
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NPI Number | 1093699910
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Entity Type | Individual
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Provider Name | MICHELLE RYDER LPC
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Gender | Female
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Dates
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Enumeration Date | 08/04/2025
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 9 TRAFALGAR SQ STE 270
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City | NASHUA
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State | NH
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Zip | 03063-1900
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Country | US
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Telephone | 870-544-4094
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Fax |
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Provider Business Mailing Address
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Address Line | 481 BRENT ST
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City | MANCHESTER
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State | NH
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Zip | 03103-7707
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Country | US
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Telephone | 603-703-1712
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C1600619
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License Number State | OH
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