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General NPI Number Information
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NPI Number | 1659328391
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Entity Type | Individual
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Provider Name | SARAH A. RYAN MD
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Gender | Female
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Dates
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Enumeration Date | 05/28/2006
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 2010 WELLNESS WAY STE 200
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City | LAS VEGAS
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State | NV
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Zip | 89106-4142
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Country | US
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Telephone | 702-877-0814
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Fax | 702-877-0113
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 702-877-0814
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Fax | 702-877-0113
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 127435
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 127435
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License Number State | MT
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Taxonomy #3
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Taxonomy Code | 2088F0040X
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Taxonomy Name | Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician
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License Number | 15436
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 15436
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License Number State | NV
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