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General NPI Number Information
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NPI Number | 1922889690
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Entity Type | Individual
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Provider Name | DANUTA RYAN
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Gender | Female
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 637 COUNTY ROUTE 1
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City | FORT COVINGTON
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State | NY
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Zip | 12937-2807
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Country | US
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Telephone | 518-358-6670
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Fax |
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Provider Business Mailing Address
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Address Line | 219 MARGARET ST APT B
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City | PLATTSBURGH
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State | NY
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Zip | 12901-1621
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Country | US
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Telephone | 518-956-2450
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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