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General NPI Number Information
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NPI Number | 1780688291
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Entity Type | Individual
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Provider Name | RYAN R DAVIES MD
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Gender | Male
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 12/04/2017
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Provider Practice Location Address
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Address Line | 1935 MEDICAL DISTRICT DR # MCB3.410
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City | DALLAS
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State | TX
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Zip | 75235-7701
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Country | US
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Telephone | 214-456-5000
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Fax | 214-456-5015
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Provider Business Mailing Address
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Address Line | 1935 MEDICAL DISTRICT DR, MC B3.410
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City | DALLAS
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State | TX
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Zip | 75235-7701
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Country | US
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Telephone | 214-456-5000
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Fax | 302-456-5015
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 231289
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 231289
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | A110460
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | C10009649
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License Number State | DE
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Taxonomy #5
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | R3497
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License Number State | TX
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