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General NPI Number Information
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NPI Number | 1013270750
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Entity Type | Individual
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Provider Name | RYANNA COLLEEN SHARP L.M.T, M.M.P
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Gender | Female
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 8573 E PRINCESS DR 219
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City | SCOTTSDALE
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State | AZ
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Zip | 85255-7819
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Country | US
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Telephone | 480-949-1818
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Fax |
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Provider Business Mailing Address
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Address Line | 7473 N TOYA VISTA RD
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City | PAYSON
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State | AZ
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Zip | 85541-6192
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Country | US
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Telephone | 928-951-5378
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-15361
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License Number State | AZ
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