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General NPI Number Information
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NPI Number | 1831602887
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Entity Type | Individual
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Provider Name | JEREMY RYAN PTA
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Gender | Male
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 203 SPARKS AVE
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3732
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Country | US
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Telephone | 812-590-8217
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Fax |
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Provider Business Mailing Address
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Address Line | 3228 HARMONY LN
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City | CHARLESTOWN
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State | IN
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Zip | 47111-8664
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Country | US
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Telephone |
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 06005561A
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License Number State | IN
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