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General NPI Number Information
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NPI Number | 1295833614
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Entity Type | Individual
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Provider Name | FRANK M RYBURN III MD
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Gender | Male
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Dates
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Enumeration Date | 09/20/2006
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 3420 23RD ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1322
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Country | US
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Telephone | 806-793-2474
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Fax | 806-791-5819
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Provider Business Mailing Address
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Address Line | 3420 23RD ST
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City | LUBBOCK
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State | TX
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Zip | 79410
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Country | US
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Telephone | 806-793-2474
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Fax | 806-791-5819
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | F9007
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License Number State | TX
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