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General NPI Number Information
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NPI Number | 1669369344
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Entity Type | Individual
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Provider Name | RYAN JOHN MURRY
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Gender | Male
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 6210 E HWY 290
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City | AUSTIN
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State | TX
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Zip | 78723-1142
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Country | US
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Telephone | 512-346-6611
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Fax |
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Provider Business Mailing Address
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Address Line | 202 CLAREMONT AVE # 101
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City | SAN ANTONIO
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State | TX
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Zip | 78209-6806
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Country | US
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Telephone | 305-318-8083
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 863371
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License Number State | TX
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