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General NPI Number Information
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NPI Number | 1639863509
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Entity Type | Individual
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Provider Name | CHRISTOPHER RYDMAN
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Gender | Male
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 1693 MISSION DR STE 207
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City | SOLVANG
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State | CA
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Zip | 93463-2635
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Country | US
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Telephone | 213-926-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 3634 PALOMA ST
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City | SANTA YNEZ
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State | CA
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Zip | 93460-9779
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Country | US
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Telephone | 213-926-2110
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 138951
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License Number State | CA
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