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General NPI Number Information
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NPI Number | 1033446182
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Entity Type | Organization
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Legal Business Name | RYAN BETZ, D.C., P.C.
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Dates
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Enumeration Date | 11/11/2009
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Last Update Date | 11/11/2009
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Provider Practice Location Address
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Address Line | 1020 104TH STREET SUITE 100
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City | NAPERVILLE
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State | IL
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Zip | 60564
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Country | US
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Telephone | 630-718-0554
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Fax | 630-718-0555
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Provider Business Mailing Address
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Address Line | 1020 104TH STREET SUITE 100
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City | NAPERVILLE
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State | IL
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Zip | 60564
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Country | US
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Telephone | 630-718-0554
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Fax | 630-718-0555
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RYAN MATTHEW BETZ
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Credential | D.C.
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Telephone | 517-927-8662
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 038011522
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License Number State | IL
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