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General NPI Number Information
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NPI Number | 1851790166
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Entity Type | Individual
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Provider Name | RYAN BORGES PT
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Gender | Male
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Dates
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Enumeration Date | 08/22/2014
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Last Update Date | 02/06/2021
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Provider Practice Location Address
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Address Line | 1183 HEBERT LN LOT 76
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City | SAINT MARTINVILLE
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State | LA
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Zip | 70582-6136
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Country | US
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Telephone | 337-298-0349
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Fax | 337-205-6189
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Provider Business Mailing Address
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Address Line | 1183 HEBERT LN LOT 76
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City | SAINT MARTINVILLE
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State | LA
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Zip | 70582-6136
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Country | US
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Telephone | 337-298-0349
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Fax | 337-205-6189
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 08819
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License Number State | LA
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