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General NPI Number Information
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NPI Number | 1740768399
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Entity Type | Individual
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Provider Name | RYAN KENNETH TROMBLEY PT, DPT, LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 08/04/2018
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Last Update Date | 08/04/2018
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Provider Practice Location Address
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Address Line | 250 UNIVERSITY AVE
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City | CALIFORNIA
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State | PA
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Zip | 15419-1341
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Country | US
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Telephone | 724-938-5206
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Fax | 717-412-9972
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Provider Business Mailing Address
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Address Line | 921 ALICE ST
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City | BELLE VERNON
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State | PA
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Zip | 15012-2327
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Country | US
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Telephone | 724-366-4552
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 178410
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT005839
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT027079
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License Number State | PA
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