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General NPI Number Information
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NPI Number | 1003508334
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Entity Type | Individual
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Provider Name | RYAN PAUL ROBINSON
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Gender | Male
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 05/24/2023
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Provider Practice Location Address
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Address Line | 12629 116TH AVE NE
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City | KIRKLAND
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State | WA
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Zip | 98034-4323
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Country | US
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Telephone | 425-947-0105
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Fax |
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Provider Business Mailing Address
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Address Line | 14648 36TH CT NE
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City | LAKE FOREST PARK
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State | WA
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Zip | 98155-2630
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Country | US
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Telephone | 210-247-7400
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | P161372232
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License Number State | WA
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