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General NPI Number Information
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NPI Number | 1992908354
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Entity Type | Individual
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Provider Name | RYAN MICHAEL MCENANEY MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2007
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 1 BARNES JEWISH HOSPITAL PLZ DIV SURG VASCULAR
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1003
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Country | US
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Telephone | 314-273-7373
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Fax | 888-840-6225
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Provider Business Mailing Address
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Address Line | PO BOX 7412011
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City | CHICAGO
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State | IL
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Zip | 60674-2011
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Country | US
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Telephone | 314-273-7373
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Fax | 888-840-6225
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 2024042070
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License Number State | MO
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