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General NPI Number Information
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NPI Number | 1184414831
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Entity Type | Individual
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Provider Name | RYAN CURTIS PHD
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Gender | Male
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 76 LOU GROZA BLVD
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City | BEREA
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State | OH
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Zip | 44017-1269
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Country | US
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Telephone | 573-808-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 76 LOU GROZA BLVD
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City | BEREA
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State | OH
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Zip | 44017-1269
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT007132
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License Number State | OH
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