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General NPI Number Information
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NPI Number | 1982395018
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Entity Type | Individual
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Provider Name | MR. RYAN JAMES WARNER
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Gender | Male
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 05/18/2023
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Provider Practice Location Address
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Address Line | 16 CENTER ST STE 517
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City | NORTHAMPTON
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State | MA
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Zip | 01060-3031
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Country | US
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Telephone | 413-624-4340
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Fax |
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Provider Business Mailing Address
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Address Line | 20 SALEM ST
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City | QUINCY
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State | MA
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Zip | 02169-6120
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Country | US
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Telephone | 904-755-4425
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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 |
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License Number State |
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