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General NPI Number Information
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NPI Number | 1619761269
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Entity Type | Individual
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Provider Name | RYAN M GREENWOOD CPC
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Gender | Male
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 2520 SAINT ROSE PKWY STE 214
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City | HENDERSON
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State | NV
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Zip | 89074-7789
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Country | US
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Telephone | 702-381-2192
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Fax |
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Provider Business Mailing Address
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Address Line | 2021 PINION SPRINGS DR
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City | HENDERSON
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State | NV
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Zip | 89074-4122
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Country | US
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Telephone | 804-381-3933
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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 | CP5327
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License Number State | NV
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