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NPI 1659318699

NPI 1659318699 : JAMES G RYAN MD : HERMITAGE, PA

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General NPI Number Information
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    NPI Number           |    1659318699
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES G RYAN MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2006
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    Last Update Date     |    03/07/2014
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Provider Practice Location Address
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    Address Line         |    2999 INNOVATION WAY SHARON CARDIOLOGY SPECIALISTS
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    City                 |    HERMITAGE
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    State                |    PA
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    Zip                  |    16148-7903
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    Country              |    US
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    Telephone            |    724-983-1800
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    Fax                  |    724-983-8252
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Provider Business Mailing Address
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    Address Line         |    740 E STATE ST SHARON REGIONAL HEALTH SERVICES
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    City                 |    SHARON
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    State                |    PA
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    Zip                  |    16146-3328
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    Country              |    US
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    Telephone            |    724-983-5584
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    Fax                  |    724-983-5611
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    MD048211L
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    License Number State |    PA
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Taxonomy #2
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    Taxonomy Code        |    207RC0000X
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    Taxonomy Name        |    Cardiovascular Disease Physician
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    License Number       |    MD048211L
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    License Number State |    PA
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