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General NPI Number Information
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NPI Number | 1578098216
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Entity Type | Individual
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Provider Name | RYAN MALEKNIA
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Gender | Male
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Dates
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Enumeration Date | 05/01/2017
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Last Update Date | 12/21/2024
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Provider Practice Location Address
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Address Line | 800 SPRUCE ST SCHIEDT BLDG 9TH FLOOR, SOCIETY HILL ANESTHESIA
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City | PHILADELPHIA
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State | PA
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Zip | 19107-6130
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Country | US
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Telephone | 321-439-8574
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Fax |
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Provider Business Mailing Address
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Address Line | 626 GREAT SPRINGS RD
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City | BRYN MAWR
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State | PA
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Zip | 19010-1702
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Country | US
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Telephone | 610-663-0284
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | APRN11034705
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | RN689976
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License Number State | PA
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