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General NPI Number Information
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NPI Number | 1912900440
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Entity Type | Individual
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Provider Name | RYAN COURTNEY FIELDS MD
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Gender | Male
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Dates
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Enumeration Date | 05/30/2005
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 4500 FOREST PARK AVE DIV SURG HPB, 5TH FL
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City | SAINT LOUIS
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State | MO
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Zip | 63108-2114
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Country | US
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Telephone | 314-362-2280
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Fax | 888-352-8360
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Provider Business Mailing Address
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Address Line | PO BOX 7412011
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City | CHICAGO
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State | IL
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Zip | 60674-2011
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Country | US
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Telephone | 314-362-2280
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Fax | 888-352-8360
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2004032568
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | 2004032568
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License Number State | MO
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