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General NPI Number Information
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NPI Number | 1154556611
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Entity Type | Individual
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Provider Name | RYAN J BRANG MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2009
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1001 MAIN ST W
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City | ASHLAND
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State | WI
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Zip | 54806-1366
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Country | US
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Telephone | 715-682-5601
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Fax | 715-682-6878
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Provider Business Mailing Address
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Address Line | 330 SEVEN SPRINGS WAY
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City | BRENTWOOD
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State | TN
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Zip | 37027-5098
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Country | US
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Telephone | 615-920-7510
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Fax | 615-920-8775
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 57124-20
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License Number State | WI
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