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General NPI Number Information
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NPI Number | 1194770545
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Entity Type | Organization
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Legal Business Name | SEAN P. RYAN, MD
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 425 GUY PARK AVE SUITE 306
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City | AMSTERDAM
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State | NY
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Zip | 12010-1043
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Country | US
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Telephone | 518-843-6613
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Fax | 518-843-0171
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Provider Business Mailing Address
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Address Line | 425 GUY PARK AVE SUITE 306
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City | AMSTERDAM
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State | NY
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Zip | 12010-1043
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Country | US
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Telephone | 518-843-6613
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Fax | 518-843-0171
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. SEAN P RYAN
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Credential | M.D.
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Telephone | 518-843-6613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 216322
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License Number State | NY
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