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General NPI Number Information
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NPI Number | 1568640134
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Entity Type | Individual
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Provider Name | RYAN CHARLES JONES DPT,CSCS
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Gender | Male
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 05/13/2010
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Provider Practice Location Address
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Address Line | 247 W CENTRAL ST
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City | NATICK
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State | MA
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Zip | 01760-3774
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Country | US
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Telephone | 508-647-1633
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Fax | 508-647-1634
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Provider Business Mailing Address
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Address Line | 247 W CENTRAL ST
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City | NATICK
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State | MA
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Zip | 01760-3774
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Country | US
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Telephone | 508-647-1633
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Fax | 508-647-1634
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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 | PT-23787
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 19024
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License Number State | MA
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