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General NPI Number Information
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NPI Number | 1336671163
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Entity Type | Individual
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Provider Name | RYAN M PARANAL MD
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Gender | Male
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Dates
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Enumeration Date | 03/30/2017
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 101 NICOLLS RD
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City | STONY BROOK
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State | NY
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Zip | 11794-1619
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Country | US
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Telephone | 631-638-3082
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Fax | 631-444-7865
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Provider Business Mailing Address
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Address Line | 101 NICOLLS RD FL HSC11
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City | STONY BROOK
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State | NY
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Zip | 11794-8111
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Country | US
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Telephone | 316-383-0826
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Fax | 631-444-7865
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 283186
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License Number State | MA
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