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General NPI Number Information
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NPI Number | 1649685579
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Entity Type | Individual
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Provider Name | RYAN MCGIVENEY
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Gender | Male
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Dates
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Enumeration Date | 06/30/2014
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Last Update Date | 11/16/2014
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Provider Practice Location Address
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Address Line | 606 6TH LN
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-3551
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Country | US
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Telephone | 321-368-4827
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Fax |
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Provider Business Mailing Address
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Address Line | 606 6TH LN
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-3551
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 9277331
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9277331
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 638472
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 664129
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License Number State | NY
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