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General NPI Number Information
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NPI Number | 1962393173
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Entity Type | Organization
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Legal Business Name | RYAN KOCHANSKI MD, PLLC
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 5282 MEDICAL DR STE 600
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City | SAN ANTONIO
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State | TX
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Zip | 78229-6114
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Country | US
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Telephone | 210-375-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 20838 GREAT NAVAJO
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City | SAN ANTONIO
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State | TX
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Zip | 78257-1667
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN KOCHANSKI
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Credential | MD
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Telephone | 248-330-9671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number |
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License Number State |
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