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General NPI Number Information
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NPI Number | 1144788878
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Entity Type | Individual
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Provider Name | RYAN MICHAEL ZAPPA
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Gender | Male
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Dates
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Enumeration Date | 03/12/2019
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Last Update Date | 08/13/2023
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Provider Practice Location Address
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Address Line | 4315 GOLF CLUB DR APT 5402
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City | AUBURN
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State | AL
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Zip | 36830-5890
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Country | US
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Telephone | 724-263-7221
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Fax |
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Provider Business Mailing Address
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Address Line | 4315 GOLF CLUB DR APT 5402
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City | AUBURN
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State | AL
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Zip | 36830-5890
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Country | US
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Telephone | 724-263-7221
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2785
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT007733
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License Number State | PA
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