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General NPI Number Information
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NPI Number | 1114871746
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Entity Type | Individual
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Provider Name | RYAN MICHAEL RALL
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Gender | Male
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Dates
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Enumeration Date | 02/23/2026
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Last Update Date | 02/23/2026
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Provider Practice Location Address
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Address Line | 2101 E PARHAM RD STE 102
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City | HENRICO
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State | VA
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Zip | 23228-2234
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Country | US
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Telephone | 804-799-9292
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Fax |
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Provider Business Mailing Address
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Address Line | 701 LENDALL LN
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City | FREDERICKSBURG
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State | VA
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Zip | 22405-2326
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Country | US
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Telephone | 540-424-0555
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Fax | 540-424-0555
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0001225550
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License Number State | VA
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