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General NPI Number Information
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NPI Number | 1528755394
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Entity Type | Individual
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Provider Name | RYAN WILLIAM AUSTIN LPC, NCC, MS
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Gender | Male
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Dates
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Enumeration Date | 04/20/2023
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2033 HOSEA L WILLIAMS DR NE SUITE 2
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City | ATLANTA
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State | GA
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Zip | 30317-2501
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Country | US
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Telephone | 214-930-7626
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Fax |
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Provider Business Mailing Address
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Address Line | 210 WOODSTREAM WAY
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-2487
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Country | US
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Telephone | 214-930-7626
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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 | APC008712
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License Number State | GA
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