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General NPI Number Information
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NPI Number | 1699949966
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Entity Type | Individual
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Provider Name | RYAN BURCHFIELD
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Gender | Female
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 2400 S. 48TH STREET SUITE C
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City | SPRINGDALE
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State | AR
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Zip | 72762
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Country | US
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Telephone | 479-750-2020
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Fax | 479-750-8967
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Provider Business Mailing Address
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Address Line | 5210 W VILLAGE PKWY
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City | ROGERS
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State | AR
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Zip | 72758-8104
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Country | US
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Telephone | 479-871-1414
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Fax | 479-262-0717
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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 | P1006037
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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