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General NPI Number Information
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NPI Number | 1134083959
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Entity Type | Individual
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Provider Name | GIONN RYU K BUENAVIDES PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 643 CHALAN SAN ANTONIO STE 108
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City | TAMUNING
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State | GU
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Zip | 96913-3644
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Country | US
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Telephone | 671-735-8000
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Fax |
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Provider Business Mailing Address
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Address Line | 643 CHALAN SAN ANTONIO STE 108
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City | TAMUNING
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State | GU
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Zip | 96913-3644
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | PT-193
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License Number State | GU
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