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General NPI Number Information
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NPI Number | 1881985679
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Entity Type | Individual
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Provider Name | RYON EDWARD HOKENS P.T.
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Gender | Male
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 19596 HWY M28 EAST
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City | EWEN
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State | MI
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Zip | 49925-0288
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Country | US
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Telephone | 906-988-2545
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 288
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City | EWEN
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State | MI
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Zip | 49925-0288
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Country | US
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Telephone | 906-988-2545
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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 | 5501011372
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 5501011372
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License Number State | MI
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