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General NPI Number Information
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NPI Number | 1962851147
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Entity Type | Individual
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Provider Name | WILLIAM RYAN JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/08/2016
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Last Update Date | 06/27/2025
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Provider Practice Location Address
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Address Line | 1079 WHITEHORSE-MERCERVILLE RD
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City | HAMILTON TOWNSHIP
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State | NJ
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Zip | 08610-1424
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Country | US
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Telephone | 800-321-9999
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Fax | 267-479-1321
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Provider Business Mailing Address
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Address Line | 833 CHESTNUT ST STE 520
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City | PHILADELPHIA
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State | PA
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Zip | 19107-4430
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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 |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 25MA11519900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number | MD479082
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | MD479082
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License Number State | PA
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