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General NPI Number Information
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NPI Number | 1184821050
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Entity Type | Individual
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Provider Name | MICHAEL RYAN ESMAY MD
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Gender | Male
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Dates
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Enumeration Date | 07/02/2007
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 1518 RANCH ROAD 620 S
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City | LAKEWAY
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State | TX
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Zip | 78734-6291
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Country | US
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Telephone | 512-527-6247
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Fax |
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Provider Business Mailing Address
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Address Line | 117 STONE RIVER DR
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City | AUSTIN
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State | TX
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Zip | 78737-4746
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Country | US
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Telephone | 480-209-2495
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD2017-0652
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 81349
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | S9679
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License Number State | TX
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