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General NPI Number Information
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NPI Number | 1821659731
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Entity Type | Individual
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Provider Name | RYAN JOSEPH ESENWEIN LAT, ATC
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Gender | Male
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Dates
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Enumeration Date | 06/23/2019
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 125 SPRAGINS HALL
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City | HUNTSVILLE
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State | AL
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Zip | 35899-6409
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Country | US
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Telephone | 256-824-6883
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Fax |
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Provider Business Mailing Address
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Address Line | 1260 BALCH RD APT 7102
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City | MADISON
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State | AL
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Zip | 35757-6409
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Country | US
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Telephone | 912-492-8480
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 2594
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License Number State | AL
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