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General NPI Number Information
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NPI Number | 1174923833
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Entity Type | Individual
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Provider Name | PATRICK RYAN TOOLE PTA
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Gender | Male
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Dates
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Enumeration Date | 09/01/2014
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 1170 PEACHTREE HILLS ST NE FLOOR 17
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City | ATLANTA
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State | GA
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Zip | 30309
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Country | US
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Telephone | 570-854-1632
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Fax |
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Provider Business Mailing Address
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Address Line | 186 RIVULET DR
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City | CANTON
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State | GA
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Zip | 30115-8189
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA 24813
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA005151
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License Number State | GA
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