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General NPI Number Information
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NPI Number | 1871641357
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Entity Type | Individual
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Provider Name | SCOTT F RYDER M.A., L.P.C., C.F.T.
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Gender | Male
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3100 BUCKNELL CT
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City | BOULDER
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State | CO
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Zip | 80305-3465
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Country | US
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Telephone | 303-499-1121
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Fax | 303-499-9332
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Provider Business Mailing Address
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Address Line | 9283 GALWAY RD
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City | BOULDER
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State | CO
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Zip | 80303-1665
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Country | US
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Telephone | 303-875-4998
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2299
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License Number State | CO
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