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General NPI Number Information
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NPI Number | 1629062112
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Entity Type | Individual
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Provider Name | RONALD GERALD DALRYMPLE P.H.D
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Gender | Male
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Dates
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Enumeration Date | 09/12/2005
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 13180 N CLEVELAND AVE STE 312
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City | N FORT MYERS
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State | FL
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Zip | 33903-6231
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Country | US
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Telephone | 239-887-8999
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4466
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City | FORT MYERS
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State | FL
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Zip | 33918-4466
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Country | US
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Telephone | 239-887-8999
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 3006
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY0006631
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License Number State | FL
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