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General NPI Number Information
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NPI Number | 1487954418
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Entity Type | Organization
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Legal Business Name | FRANK M RYBURN III, M.D. P.A.
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Dates
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Enumeration Date | 10/25/2010
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Last Update Date | 10/25/2010
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Provider Practice Location Address
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Address Line | 3420 23RD ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1322
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Country | US
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Telephone | 806-793-2474
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Fax | 806-791-5819
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Provider Business Mailing Address
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Address Line | 3420 23RD ST
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City | LUBBOCK
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State | TX
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Zip | 79410-1322
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Country | US
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Telephone | 806-793-2474
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Fax | 806-791-5819
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Authorized Official
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Title or Position | OWNER/PHYSCIAN
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Name | DR. FRANK MCCUTCHEN RYBURN III
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Credential | M.D.
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Telephone | 806-793-2474
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | F9007
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License Number State | TX
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