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NPI 1427733799

NPI 1427733799 : RYAN C PARRISH : ZELIENOPLE, PA

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General NPI Number Information
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    NPI Number           |    1427733799
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    Entity Type          |    Individual 
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    Provider Name        |    RYAN C PARRISH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/15/2023
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    Last Update Date     |    06/15/2023
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Provider Practice Location Address
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    Address Line         |    152 GROVE HILL LN 
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    City                 |    ZELIENOPLE
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    State                |    PA
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    Zip                  |    16063-3043
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    Country              |    US
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    Telephone            |    141-284-1770
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    152 GROVE HILL LN 
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    City                 |    ZELIENOPLE
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    State                |    PA
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    Zip                  |    16063-3043
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    Country              |    US
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    Telephone            |    141-284-1770
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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        |    101Y00000X
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    Taxonomy Name        |    Counselor
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    License Number       |    PC014970
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    License Number State |    PA
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