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General NPI Number Information
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NPI Number | 1841428075
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Entity Type | Individual
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Provider Name | RYAN DUVALL M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2009
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 316 SAWYER DR
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City | DURANGO
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State | CO
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Zip | 81303
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Country | US
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Telephone | 970-259-3110
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Fax | 970-259-6605
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Provider Business Mailing Address
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Address Line | 316 SAWYER DR
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City | DURANGO
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State | CO
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Zip | 81303-6560
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Country | US
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Telephone | 970-259-3110
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Fax | 970-259-6605
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 45531
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 50390
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License Number State | CO
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