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General NPI Number Information
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NPI Number | 1962914325
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Entity Type | Individual
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Provider Name | RYAN SAGER ARNP
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Gender | Male
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Dates
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Enumeration Date | 10/25/2017
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Last Update Date | 10/25/2017
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Provider Practice Location Address
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Address Line | 803 E DIXIE AVE
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City | LEESBURG
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State | FL
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Zip | 34748-6013
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Country | US
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Telephone | 352-530-2256
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Fax |
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Provider Business Mailing Address
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Address Line | 928 SUMMER LAKES DR
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City | ORLANDO
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State | FL
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Zip | 32835-5121
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9361451
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License Number State | FL
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