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General NPI Number Information
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NPI Number | 1518232719
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Entity Type | Individual
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Provider Name | RYAN YOSHIO SWARTZ SUDA M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 1425 S MAIN ST
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5318
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Country | US
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Telephone | 925-295-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 2408 ENCINAL DR
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City | WALNUT CREEK
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State | CA
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Zip | 94597-3127
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Country | US
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Telephone | 858-344-7832
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A128128
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License Number State | CA
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