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General NPI Number Information
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NPI Number | 1588228571
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Entity Type | Individual
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Provider Name | DANIEL RYBALOV FNP
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Gender | Male
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Dates
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Enumeration Date | 04/25/2019
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Last Update Date | 10/19/2025
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Provider Practice Location Address
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Address Line | 835 OLD YORK RD
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City | JENKINTOWN
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State | PA
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Zip | 19046-1601
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Country | US
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Telephone | 152-886-2923
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Fax |
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Provider Business Mailing Address
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Address Line | 835 OLD YORK RD
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City | JENKINTOWN
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State | PA
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Zip | 19046-1601
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Country | US
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Telephone | 215-886-2923
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0024191884
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 16065-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | CP003459
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License Number State | SD
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 26NJ15254600
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP030107
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License Number State | PA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APN.29461RX
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License Number State | SC
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Taxonomy #7
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 201119
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License Number State | ND
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Taxonomy #8
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 5021441
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License Number State | NC
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Taxonomy #9
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 355516
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License Number State | NY
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Taxonomy #10
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 120837
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License Number State | WV
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Taxonomy #11
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APRN-NP333625
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License Number State | GA
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Taxonomy #12
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 12.014212
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License Number State | CT
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Taxonomy #13
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP020107
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License Number State | PA
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