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General NPI Number Information
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NPI Number | 1508447368
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Entity Type | Individual
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Provider Name | RYAN LEE STANLEY CPC
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Gender | Male
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Dates
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Enumeration Date | 04/14/2021
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1820 E WARM SPRINGS RD STE 140
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City | LAS VEGAS
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State | NV
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Zip | 89119-4593
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Country | US
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Telephone | 702-779-3956
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Fax | 702-779-3957
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Provider Business Mailing Address
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Address Line | 56 E SERENE AVE UNIT 101
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City | LAS VEGAS
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State | NV
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Zip | 89123-3741
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Country | US
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Telephone | 702-355-9699
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Fax | 702-355-9699
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | CP5777
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License Number State | NV
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