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General NPI Number Information
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NPI Number | 1780036681
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Entity Type | Individual
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Provider Name | RYAN ANDREW FOLEY CRNA
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Gender | Male
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Dates
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Enumeration Date | 07/05/2016
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 4100 DUVAL RD STE 100
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City | AUSTIN
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State | TX
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Zip | 78759-3550
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Country | US
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Telephone | 855-876-7246
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Fax | 855-277-5070
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Provider Business Mailing Address
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Address Line | PO BOX 208382
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City | DALLAS
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State | TX
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Zip | 75320-8382
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Country | US
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Telephone | 124-857-2085
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Fax | 844-364-8678
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | AP141768
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License Number State | TX
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