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General NPI Number Information
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NPI Number | 1629898515
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Entity Type | Individual
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Provider Name | BECKY L RYALS LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/15/2024
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Last Update Date | 10/15/2024
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Provider Practice Location Address
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Address Line | 3060 KIMBALL BRIDGE RD STE 110
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City | ALPHARETTA
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State | GA
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Zip | 30022-1404
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Country | US
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Telephone | 404-388-3909
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Fax |
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Provider Business Mailing Address
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Address Line | 4255 HARVEST TURN LN
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City | CUMMING
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State | GA
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Zip | 30028-3498
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Country | US
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Telephone | 847-207-4467
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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 | CSW008009
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License Number State | GA
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