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General NPI Number Information
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NPI Number | 1891389441
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Entity Type | Individual
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Provider Name | RYAN N WALSH MA, NCC, LAC, LCADC
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Gender | Male
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Dates
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Enumeration Date | 02/24/2021
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Last Update Date | 02/24/2021
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Provider Practice Location Address
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Address Line | 2224 WHITESVILLE RD
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City | TOMS RIVER
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State | NJ
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Zip | 08755-1041
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Country | US
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Telephone | 848-221-3022
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Fax |
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Provider Business Mailing Address
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Address Line | 95 BLOSSOM DR
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City | TOMS RIVER
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State | NJ
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Zip | 08753-1768
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Country | US
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Telephone | 732-232-3599
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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