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General NPI Number Information
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NPI Number | 1023202728
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Entity Type | Individual
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Provider Name | RYAN MITCHEL GASSER M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/05/2007
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Last Update Date | 12/18/2017
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Provider Practice Location Address
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Address Line | 224 W EXCHANGE ST #440
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City | AKRON
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State | OH
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Zip | 44302-1704
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Country | US
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Telephone | 330-344-2663
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Fax | 330-344-6038
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Provider Business Mailing Address
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Address Line | 4760 BELPAR ST NW
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City | CANTON
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State | OH
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Zip | 44718-3603
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Country | US
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Telephone | 330-492-9200
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 35-120709
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 35-120709
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License Number State | OH
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