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General NPI Number Information
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NPI Number | 1932574159
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Entity Type | Individual
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Provider Name | RYAN DAVID SENATOR LPC
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Gender | Male
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 800 PRESTON AVE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4420
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Country | US
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Telephone | 434-972-1758
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Fax | 434-980-6697
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Provider Business Mailing Address
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Address Line | 800 PRESTON AVE
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22903-4420
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Country | US
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Telephone | 434-972-1758
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Fax | 434-980-6697
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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 | 0701006402
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701006402
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701006402
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License Number State | VA
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