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General NPI Number Information
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NPI Number | 1184049140
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Entity Type | Individual
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Provider Name | RYAN LEWIS ANDERSON M.S.
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Gender | Male
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Dates
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Enumeration Date | 02/27/2014
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 470 PLUMAS BLVD STE 201
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City | YUBA CITY
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State | CA
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Zip | 95991-5077
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Country | US
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Telephone | 530-749-3463
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 255228
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City | SACRAMENTO
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State | CA
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Zip | 95865-5228
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | A151182
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License Number State | CA
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