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General NPI Number Information
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NPI Number | 1144886680
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Entity Type | Individual
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Provider Name | AMBER M. RYAN LMHC
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Gender | Female
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Dates
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Enumeration Date | 05/09/2019
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 320 N RIDGEWOOD DR
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City | SEBRING
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State | FL
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Zip | 33870-7205
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Country | US
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Telephone | 844-373-5762
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Fax |
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Provider Business Mailing Address
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Address Line | 1513 WALNUT AVE
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City | LAKE PLACID
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State | FL
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Zip | 33852-5614
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Country | US
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Telephone | 863-840-2998
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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 | 15227
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MH18892
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License Number State | FL
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