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General NPI Number Information
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NPI Number | 1235697640
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Entity Type | Individual
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Provider Name | RYAN GELFAND PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/05/2019
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 9104 BABCOCK BLVD
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City | PITTSBURGH
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State | PA
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Zip | 15237-5818
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Country | US
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Telephone | 412-367-5020
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Fax |
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Provider Business Mailing Address
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Address Line | 4841 JOYFUL WAY APT J
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City | ELLICOTT CITY
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State | MD
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Zip | 21043-8026
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Country | US
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Telephone | 240-750-9678
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C07534
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License Number State | MD
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