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General NPI Number Information
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NPI Number | 1811152549
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Entity Type | Individual
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Provider Name | RYAN JAMES GARSO PA
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Gender | Male
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Dates
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Enumeration Date | 07/22/2008
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Last Update Date | 09/30/2020
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Provider Practice Location Address
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Address Line | 17 RIVERSIDE ST
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City | NASHUA
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State | NH
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Zip | 03062-1304
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Country | US
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Telephone | 603-577-5760
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Fax | 603-577-5765
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Provider Business Mailing Address
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Address Line | PO BOX 3677
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City | NASHUA
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State | NH
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Zip | 03061-3677
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Country | US
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Telephone | 603-577-7900
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Fax | 603-577-7972
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | AP2543
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 0872
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License Number State | NH
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