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General NPI Number Information
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NPI Number | 1346957289
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW SURGERY
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 7559 N TONGASS HWY
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City | KETCHIKAN
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State | AK
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Zip | 99901-9182
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Country | US
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Telephone | 907-228-0185
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Fax | 907-225-0184
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Provider Business Mailing Address
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Address Line | PO BOX 7132
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City | KETCHIKAN
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State | AK
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Zip | 99901-2132
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEFFREY RYAN
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Credential | MD
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Telephone | 205-494-9046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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