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General NPI Number Information
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NPI Number | 1265426225
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Entity Type | Individual
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Provider Name | YVETTE M RYAN-GREEN M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 9 RYANT BLVD
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City | SEBRING
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State | FL
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Zip | 33872-4075
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Country | US
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Telephone | 863-471-1413
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Fax | 863-471-1416
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Provider Business Mailing Address
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Address Line | PO BOX 3702
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City | SEBRING
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State | FL
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Zip | 33871-3702
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Country | US
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Telephone | 863-471-1413
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Fax | 863-471-1416
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME73833
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License Number State | FL
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