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General NPI Number Information
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NPI Number | 1871137182
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Entity Type | Individual
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Provider Name | RYAN PAPCIAK
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Gender | Male
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Dates
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Enumeration Date | 10/30/2019
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 2312 WILTON DR
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City | WILTON MANORS
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State | FL
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Zip | 33305-1249
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Country | US
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Telephone | 954-526-5583
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Fax |
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Provider Business Mailing Address
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Address Line | 2170 N 29TH AVE APT 203
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City | HOLLYWOOD
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State | FL
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Zip | 33020-1718
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Country | US
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Telephone | 908-458-3198
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 011632
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 16931
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License Number State | FL
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