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General NPI Number Information
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NPI Number | 1750187332
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Entity Type | Individual
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Provider Name | RYAN NELSON PHARMD
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Gender | Male
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 175 HUMBOLDT ST STE 225
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City | ROCHESTER
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State | NY
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Zip | 14610-1000
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Country | US
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Telephone | 518-335-4114
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Fax |
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Provider Business Mailing Address
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Address Line | 1141 WILLOW BROOK BND
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City | FARMINGTON
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State | NY
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Zip | 14425-9591
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Country | US
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Telephone | 518-335-4114
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | I072303
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License Number State | NY
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