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General NPI Number Information
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NPI Number | 1093507279
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Entity Type | Individual
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Provider Name | RYAN KENNETH BOEHM DC, MS
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Gender | Male
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 433 POST RD
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City | DARIEN
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State | CT
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Zip | 06820-3606
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Country | US
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Telephone | 203-242-7020
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Fax |
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Provider Business Mailing Address
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Address Line | 98 ROBERT TREAT PKWY
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City | MILFORD
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State | CT
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Zip | 06460-4554
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Country | US
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Telephone | 203-242-7020
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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 | 2363
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 3010
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License Number State | CT
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