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General NPI Number Information
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NPI Number | 1720224587
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Entity Type | Individual
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Provider Name | STEVE C RYAN MFT
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Gender | Male
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Dates
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Enumeration Date | 12/29/2008
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Last Update Date | 12/29/2008
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Provider Practice Location Address
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Address Line | 2541 STATE ST 102
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City | CARLSBAD
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State | CA
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Zip | 92008-1678
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Country | US
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Telephone | 760-434-3971
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Fax | 760-434-5553
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Provider Business Mailing Address
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Address Line | 2541 STATE ST 102
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City | CARLSBAD
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State | CA
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Zip | 92008-1678
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Country | US
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Telephone | 760-434-3971
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Fax | 760-434-5553
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 32779
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License Number State | CA
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