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General NPI Number Information
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NPI Number | 1538726625
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Entity Type | Individual
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Provider Name | NOEL RYAN MS
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Gender | Female
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Dates
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Enumeration Date | 05/23/2019
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Last Update Date | 06/17/2023
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Provider Practice Location Address
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Address Line | 301 MAIN ST STE B
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City | GOSHEN
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State | NY
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Zip | 10924-1636
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Country | US
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Telephone | 845-458-8661
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Fax |
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Provider Business Mailing Address
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Address Line | 601 BILL ROBINSON WAY
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City | NEWBURGH
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State | NY
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Zip | 12550-2962
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Country | US
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Telephone | 845-238-8422
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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