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NPI 1518264779

NPI 1518264779 : RYAN TOHER PT, DPT : JOHNSTON, RI

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General NPI Number Information
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    NPI Number           |    1518264779
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    Entity Type          |    Individual 
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    Provider Name        |    RYAN TOHER PT, DPT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    02/23/2011
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    Last Update Date     |    04/17/2023
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Provider Practice Location Address
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    Address Line         |    1999 PLAINFIELD PIKE UNIT 5 
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    City                 |    JOHNSTON
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    State                |    RI
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    Zip                  |    02919-5725
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    Country              |    US
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    Telephone            |    401-575-8893
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    Fax                  |    401-232-8061
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Provider Business Mailing Address
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    Address Line         |    21 LORI ELLEN DR 
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    City                 |    SMITHFIELD
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    State                |    RI
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    Zip                  |    02917-2313
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    Country              |    US
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    Telephone            |    401-829-0890
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    Fax                  |    401-232-8061
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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       |    PT02358
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    License Number State |    RI
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