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General NPI Number Information
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NPI Number | 1699470559
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Entity Type | Individual
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Provider Name | RYAN OJEDA MA, LAC
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Gender | Male
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Dates
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Enumeration Date | 03/31/2023
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Last Update Date | 01/11/2025
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Provider Practice Location Address
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Address Line | 9 FISHERS LN
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City | SPARTA
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State | NJ
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Zip | 07871-2440
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Country | US
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Telephone | 973-671-8786
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Fax |
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Provider Business Mailing Address
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Address Line | 9 FISHERS LN
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City | SPARTA
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State | NJ
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Zip | 07871-2440
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Country | US
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Telephone | 973-671-8786
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Fax | 973-726-0617
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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 | 37AC00630300
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 37PC01103000
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License Number State | NJ
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