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General NPI Number Information
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NPI Number | 1205022241
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Entity Type | Individual
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Provider Name | RYLAN D EAST PA-C
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Gender | Male
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 6320 N LA CHOLLA BLVD STE 200
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City | TUCSON
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State | AZ
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Zip | 85741
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Country | US
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Telephone | 520-382-8200
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Fax | 520-297-3505
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Provider Business Mailing Address
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Address Line | PO BOX 31630
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City | TUCSON
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State | AZ
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Zip | 85751-1630
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Country | US
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Telephone | 520-382-8200
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Fax | 520-297-3505
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 3681
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 3681
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License Number State | AZ
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