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General NPI Number Information
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NPI Number | 1225319452
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Entity Type | Individual
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Provider Name | RYAN LEE ARDOIN PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 630 W 6TH ST
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City | HOUSTON
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State | TX
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Zip | 77007-2422
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Country | US
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Telephone | 713-489-8182
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Fax | 281-715-7166
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Provider Business Mailing Address
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Address Line | PO BOX 130315
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City | HOUSTON
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State | TX
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Zip | 77219-0315
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Country | US
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Telephone | 713-489-8182
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Fax | 713-715-7166
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1208632
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License Number State | TX
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