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General NPI Number Information
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NPI Number | 1881297455
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Entity Type | Individual
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Provider Name | RYAN JOEL ANDREWS PT,DPT
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Gender | Male
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 1 BRIDGE ST STE 71
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City | IRVINGTON
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State | NY
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Zip | 10533-1560
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Country | US
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Telephone | 914-478-0608
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Fax |
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Provider Business Mailing Address
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Address Line | 70 TENNYSON DR
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City | NANUET
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State | NY
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Zip | 10954-1037
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Country | US
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Telephone | 845-536-7223
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 046004
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License Number State | NY
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