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General NPI Number Information
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NPI Number | 1073017745
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Entity Type | Individual
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Provider Name | BRYAN JAMES RAY MD
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Gender | Male
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Dates
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Enumeration Date | 03/19/2018
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | UNIT 5071
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City | APO
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State | AP
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Zip | 96328-5071
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Country | US
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Telephone | 701-644-9058
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Fax |
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Provider Business Mailing Address
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Address Line | UNIT 5071
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City | APO
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State | AP
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Zip | 96328-5071
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Country | US
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Telephone |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 33136
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License Number State | NE
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