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General NPI Number Information
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NPI Number | 1659258937
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Entity Type | Individual
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Provider Name | RYAN EVANS
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Gender | Male
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 13123 E 16TH AVE
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City | AURORA
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State | CO
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Zip | 80045-7106
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Country | US
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Telephone | 720-777-1234
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Fax |
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Provider Business Mailing Address
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Address Line | 651 FAIRFIELD LN
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City | LOUISVILLE
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State | CO
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Zip | 80027-9561
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Country | US
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Telephone | 760-522-5420
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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 | 163WN0002X
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Taxonomy Name | Neonatal Intensive Care Registered Nurse
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License Number | RN.1668966
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License Number State | CO
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