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General NPI Number Information
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NPI Number | 1669129367
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Entity Type | Individual
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Provider Name | BART CHRISTAN RYAN PA-C
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Gender | Male
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Dates
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Enumeration Date | 03/03/2022
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 7777 FOREST LN
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City | DALLAS
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State | TX
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Zip | 75230-2571
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Country | US
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Telephone | 972-566-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 10923 WALLBROOK DR
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City | DALLAS
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State | TX
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Zip | 75238-2944
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Country | US
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Telephone | 662-297-6799
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA00641
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA17111
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License Number State | TX
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