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General NPI Number Information
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NPI Number | 1114657095
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Entity Type | Individual
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Provider Name | JOEL RYMAN
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Gender | Male
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Dates
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Enumeration Date | 06/14/2022
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 3204 N ACADEMY BLVD STE 300
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City | COLORADO SPRINGS
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State | CO
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Zip | 80917-5164
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Country | US
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Telephone | 719-323-6224
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Fax | 720-925-5897
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Provider Business Mailing Address
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Address Line | 5445 DTC PKWY STE 1130
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-3038
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Country | US
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Telephone | 720-749-5599
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Fax | 720-925-5897
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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 | 0008648
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 36371
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License Number State | CA
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