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General NPI Number Information
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NPI Number | 1588553721
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Entity Type | Organization
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Legal Business Name | RYAN BOZOF MD PC
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 2702 ABBEY CT
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City | ALPHARETTA
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State | GA
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Zip | 30004-6024
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Country | US
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Telephone | 770-772-9195
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Fax |
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Provider Business Mailing Address
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Address Line | 7055 LAUREL OAK DR
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City | SUWANEE
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State | GA
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Zip | 30024-5352
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Country | US
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Telephone | 44-643-9578
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Fax |
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Authorized Official
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Title or Position | OWNER / PHYSICIAN
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Name | RYAN GREGORY BOZOF
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Credential | MD
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Telephone | 770-772-9195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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