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General NPI Number Information
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NPI Number | 1942920707
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Entity Type | Individual
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Provider Name | CLAIRE MARIE RYAN
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Gender | Female
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Dates
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Enumeration Date | 08/31/2022
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 1000 COLOR PL # 101
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City | APOPKA
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State | FL
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Zip | 32703-7717
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Country | US
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Telephone | 888-754-0398
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Fax |
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Provider Business Mailing Address
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Address Line | 10600 BLOOMFIELD DR APT 832
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City | ORLANDO
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State | FL
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Zip | 32825-5907
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Country | US
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Telephone | 904-502-7226
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | FL
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