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General NPI Number Information
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NPI Number | 1659253151
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Entity Type | Organization
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Legal Business Name | RYEZ REGENERATIVE HEALTHSPAN PC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 860 LANCASTER AVE
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City | DEVON
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State | PA
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Zip | 19333-1316
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Country | US
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Telephone | 484-942-9333
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Fax |
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Provider Business Mailing Address
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Address Line | 657 MILITIA HILL DR
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City | WEST CHESTER
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State | PA
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Zip | 19382-8702
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Country | US
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Telephone | 484-942-9333
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND MEDICAL DIRECTOR
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Name | DR. ERIC C ZABAT
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Credential | MD
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Telephone | 484-942-9333
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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