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General NPI Number Information
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NPI Number | 1124309703
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Entity Type | Organization
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Legal Business Name | RYAN MCCLURE
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Dates
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Enumeration Date | 09/08/2011
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 1738 KEITH DR APT 6
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City | READING
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State | OH
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Zip | 45215-3747
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Country | US
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Telephone | 513-258-9721
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Fax |
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Provider Business Mailing Address
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Address Line | 1738 KEITH DR APT 6
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City | READING
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State | OH
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Zip | 45215-3747
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Country | US
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Telephone | 513-258-9721
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE
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Name | RYAN PATRICK MCCLURE
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Credential | R.N.
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Telephone | 513-258-9721
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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