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General NPI Number Information
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NPI Number | 1134278799
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Entity Type | Individual
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Provider Name | MICHAEL WHITING RYAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 115 COMMERCE POINTE BLVD
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City | MOORESVILLE
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State | NC
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Zip | 28117-9541
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Country | US
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Telephone | 704-377-4009
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 497
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City | HUNTERSVILLE
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State | NC
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Zip | 28070-0497
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Country | US
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Telephone | 704-377-4009
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 200701230
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License Number State | NC
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