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General NPI Number Information
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NPI Number | 1639166606
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Entity Type | Individual
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Provider Name | MICHAEL RYAN KALER P.T.
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Gender | Male
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Dates
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Enumeration Date | 10/04/2005
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Last Update Date | 06/12/2015
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Provider Practice Location Address
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Address Line | 34597 N 60TH ST SUITE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-5240
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Country | US
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Telephone | 480-588-7979
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Fax | 480-588-5448
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Provider Business Mailing Address
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Address Line | 34597 N 60TH ST SUITE 100
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City | SCOTTSDALE
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State | AZ
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Zip | 85266-5240
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Country | US
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Telephone | 480-588-7979
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Fax | 480-588-5448
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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 | 8306
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License Number State | AZ
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