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General NPI Number Information
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NPI Number | 1740258607
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Entity Type | Individual
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Provider Name | EMBER RYALS PT
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Gender | Female
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
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City | TACOMA
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State | WA
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Zip | 98431
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Country | US
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Telephone | 253-968-2252
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Fax |
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Provider Business Mailing Address
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Address Line | 655 7TH ST BLDG 700A 78 MDG/SGOFY
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City | ROBINS AFB
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State | GA
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Zip | 31098-2227
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Country | US
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Telephone | 487-327-7798
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Fax | 487-327-7799
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | VA
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