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General NPI Number Information
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NPI Number | 1578368015
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Entity Type | Individual
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Provider Name | RYAN GOURLEY RN FA
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Gender | Male
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Dates
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Enumeration Date | 02/18/2025
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Last Update Date | 02/18/2025
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Provider Practice Location Address
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Address Line | 3450 SACRAMENTO ST # 130
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-2712
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Country | US
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Telephone | 415-418-9433
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Fax |
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Provider Business Mailing Address
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Address Line | 3450 SACRAMENTO ST # 130
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-2712
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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 | 163WS0121X
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Taxonomy Name | Plastic Surgery Registered Nurse
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License Number | 95133240
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License Number State | CA
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