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General NPI Number Information
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NPI Number | 1760300396
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Entity Type | Individual
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Provider Name | RYAN THOMAS LUNSFORD PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 12740 N PLAZA DEL RIO BLVD
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City | PEORIA
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State | AZ
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Zip | 85381-8100
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Country | US
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Telephone | 480-581-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 9550 W NORTHERN AVE UNIT 2129
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City | PEORIA
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State | AZ
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Zip | 85345-0008
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Country | US
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Telephone | 260-433-8567
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | LPT-034861
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License Number State | AZ
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