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General NPI Number Information
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NPI Number | 1538802541
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Entity Type | Individual
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Provider Name | RYAN PATRICK FLEMING LPCC
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Gender | Male
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Dates
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Enumeration Date | 04/18/2022
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 10200 ALLIANCE RD STE 150
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City | BLUE ASH
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State | OH
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Zip | 45242-4754
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Country | US
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Telephone | 513-891-0650
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Fax |
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Provider Business Mailing Address
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Address Line | 3580 HARGRAVE CT
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City | HEBRON
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State | KY
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Zip | 41048-6900
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Country | US
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Telephone | 859-317-5985
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC.0018256
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 276747
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E.2505122
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License Number State | OH
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