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General NPI Number Information
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NPI Number | 1538872056
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Entity Type | Individual
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Provider Name | RYAN ANDREW ZOELLER FNP-C
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Gender | Male
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 6000 S MOPAC EXPY STE 100
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City | AUSTIN
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State | TX
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Zip | 78749-1113
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Country | US
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Telephone | 512-244-4272
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Fax | 512-244-2895
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Provider Business Mailing Address
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Address Line | 101 W LOUIS HENNA BLVD STE 300
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City | AUSTIN
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State | TX
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Zip | 78728-1203
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Country | US
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Telephone |
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041465817
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209026668
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1152911
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License Number State | TX
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