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General NPI Number Information
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NPI Number | 1881293488
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Entity Type | Individual
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Provider Name | MR. RYAN BARR
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Gender | Male
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 1501 HANKS ST STE A
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City | LUFKIN
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State | TX
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Zip | 75904-5411
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Country | US
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Telephone | 936-632-3820
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Fax |
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Provider Business Mailing Address
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Address Line | 8005 KRISTINA LN
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76182-8747
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Country | US
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Telephone | 817-975-5958
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | 80955
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License Number State | TX
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