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General NPI Number Information
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NPI Number | 1467261925
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Entity Type | Individual
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Provider Name | RYAN ASCHENBRENNER
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Gender |
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Dates
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Enumeration Date | 12/30/2024
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 10510 SPOTSYLVANIA AVE
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City | FREDERICKSBURG
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State | VA
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Zip | 22408-2693
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Country | US
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Telephone | 540-479-3908
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Fax |
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Provider Business Mailing Address
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Address Line | 802 CAROLINE ST APT 3D
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-5837
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Country | US
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Telephone | 540-762-9096
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number | 0134000592
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License Number State | VA
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