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General NPI Number Information
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NPI Number | 1063187680
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Entity Type | Individual
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Provider Name | RYAN PAUL DURBIN PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2021
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Last Update Date | 09/08/2021
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Provider Practice Location Address
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Address Line | 925 MERCHANT ST
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City | AMBRIDGE
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State | PA
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Zip | 15003-2327
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Country | US
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Telephone | 724-266-7664
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Fax |
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Provider Business Mailing Address
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Address Line | 133 CAMELOT CIR
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City | CORAOPOLIS
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State | PA
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Zip | 15108-3377
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Country | US
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Telephone | 412-992-8253
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP455954
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License Number State | PA
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