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General NPI Number Information
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NPI Number | 1023528486
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Entity Type | Individual
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Provider Name | RYAN TEETER DC
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Gender | Male
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 117 CENTER PARK DR STE 333
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City | KNOXVILLE
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State | TN
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Zip | 37922-2171
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Country | US
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Telephone | 865-288-4146
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 YELLOW BIRCH WAY APT 304
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City | KNOXVILLE
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State | TN
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Zip | 37931-2786
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 3013
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License Number State | TN
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