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General NPI Number Information
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NPI Number | 1770397085
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Entity Type | Individual
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Provider Name | RYAN KRIMINGER
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Gender | Male
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 10650 W STATE ROAD 84 STE 111
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City | DAVIE
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State | FL
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Zip | 33324-4235
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Country | US
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Telephone | 754-273-8106
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Fax |
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Provider Business Mailing Address
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Address Line | 533 SW 110TH LN APT 206
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City | PEMBROKE PINES
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State | FL
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Zip | 33025-6991
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 32221
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License Number State | FL
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