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General NPI Number Information
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NPI Number | 1922544923
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Entity Type | Individual
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Provider Name | RYAN SHOLINSKY CRNP
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Gender | Male
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Dates
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Enumeration Date | 01/13/2017
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Last Update Date | 01/13/2017
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Provider Practice Location Address
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Address Line | 1113 EASTON RD
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City | WILLOW GROVE
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State | PA
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Zip | 19090-1901
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Country | US
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Telephone | 215-830-5400
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 LATONA ST
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City | PHILADELPHIA
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State | PA
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Zip | 19147-4505
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Country | US
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Telephone | 732-213-0519
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | SP016837
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License Number State | PA
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