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NPI 1427349174

NPI 1427349174 : RYAN D PAYNE D.P.M : FRUITA, CO

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General NPI Number Information
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    NPI Number           |    1427349174
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    Entity Type          |    Individual 
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    Provider Name        |    RYAN D PAYNE D.P.M
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/29/2011
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    Last Update Date     |    03/05/2026
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Provider Practice Location Address
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    Address Line         |    281 N PLUM ST 
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    City                 |    FRUITA
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    State                |    CO
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    Zip                  |    81521-2100
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    Country              |    US
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    Telephone            |    970-858-2530
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    Fax                  |    970-858-1196
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Provider Business Mailing Address
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    Address Line         |    PO BOX 35100 
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    City                 |    BILLINGS
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    State                |    MT
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    Zip                  |    59107-5100
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    Country              |    US
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    Telephone            |    406-238-2500
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    POD1092
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    License Number State |    ME
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