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General NPI Number Information
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NPI Number | 1952080103
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Entity Type | Individual
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Provider Name | RYLIE JOHNSON NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/14/2023
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Last Update Date | 07/14/2023
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Provider Practice Location Address
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Address Line | 1180 SELMI DR STE 201
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City | RENO
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State | NV
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Zip | 89512-4776
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Country | US
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Telephone | 775-433-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 RICHARDS WAY
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City | FERNLEY
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State | NV
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Zip | 89408-8668
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Country | US
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Telephone | 775-426-9408
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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 | 364SF0001X
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Taxonomy Name | Family Health Clinical Nurse Specialist
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License Number | 868961
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License Number State | NV
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