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General NPI Number Information
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NPI Number | 1831344308
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Entity Type | Individual
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Provider Name | LANA ZHOVTIS RYERSON M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/24/2008
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Last Update Date | 05/16/2022
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Provider Practice Location Address
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Address Line | 1945 NJ-33
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City | NEPTUNE
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-897-3620
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Fax |
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Provider Business Mailing Address
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Address Line | JERSEY SHORE MULTIPLE SCLEROSIS CENTER 1945 NJ-33
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City | NEPTUNE
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State | NJ
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Zip | 07753
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Country | US
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Telephone | 732-897-3620
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 250538-1
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License Number State | NY
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