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General NPI Number Information
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NPI Number | 1710612445
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Entity Type | Individual
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Provider Name | MRS. LAUREN MYERS RYAN
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Gender | Female
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 15850 CRABBS BRANCH WAY # 150
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City | ROCKVILLE
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State | MD
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Zip | 20855-2622
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Country | US
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Telephone | 847-830-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 15843 CRABBS BRANCH WAY
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City | ROCKVILLE
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State | MD
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Zip | 20855-6623
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Country | US
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Telephone |
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 242006878
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 10972
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License Number State | MD
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