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General NPI Number Information
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NPI Number | 1164279535
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Entity Type | Organization
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Legal Business Name | RYAN, JAMES, WILES, PATEL & OLSEN LLP
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Dates
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Enumeration Date | 05/03/2024
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Last Update Date | 10/10/2025
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Provider Practice Location Address
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Address Line | 3102 N MAIN ST STE 102
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City | HOPE MILLS
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State | NC
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Zip | 28348-0047
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Country | US
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Telephone | 910-423-2030
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Fax | 910-500-6975
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Provider Business Mailing Address
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Address Line | 2028 LITHO PL STE 300
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2538
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Country | US
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Telephone | 910-485-7070
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Fax | 910-485-1151
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | CHRISTINA C PATE
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Credential |
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Telephone | 910-485-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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