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General NPI Number Information
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NPI Number | 1235142480
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Entity Type | Individual
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Provider Name | RYAN B SCANNELL MD
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Gender | Male
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 11/18/2013
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Provider Practice Location Address
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Address Line | 189A HIGH ST
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City | NEWBURYPORT
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State | MA
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Zip | 01950-3864
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Country | US
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Telephone | 603-630-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 85 SPRING ST
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City | LACONIA
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State | NH
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Zip | 03246-3113
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Country | US
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Telephone | 603-524-7402
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Fax | 603-524-0945
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 13643
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 13643
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License Number State | NH
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Taxonomy #3
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 13643
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License Number State | NH
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Taxonomy #4
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Taxonomy Code | 207YS0123X
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Taxonomy Name | Facial Plastic Surgery Physician
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License Number | 13643
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License Number State | NH
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