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General NPI Number Information
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NPI Number | 1346128964
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Entity Type | Individual
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Provider Name | RYAN PATRICK GIBNEY PT, DPT, CSCS
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Gender | Male
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 10 S HAYS ST
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City | BEL AIR
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State | MD
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Zip | 21014
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Country | US
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Telephone | 410-593-1815
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Fax |
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Provider Business Mailing Address
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Address Line | 16309 LITTLE RD
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City | STEWARTSTOWN
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State | PA
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Zip | 17363-7423
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Country | US
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Telephone | 717-779-7179
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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 | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number | 30413
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License Number State | MD
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