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General NPI Number Information
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NPI Number | 1437970266
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Entity Type | Individual
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Provider Name | RYAN MICHAEL WARD PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 5550 KIRKWOOD HWY
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City | WILMINGTON
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State | DE
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Zip | 19808-5000
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Country | US
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Telephone | 302-995-2100
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Fax | 302-998-3104
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Provider Business Mailing Address
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Address Line | 102 RIDGELAND RD
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City | WILMINGTON
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State | DE
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Zip | 19803-3438
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Country | US
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Telephone | 302-598-7143
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J1-0014233
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License Number State | DE
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