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General NPI Number Information
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NPI Number | 1174874416
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Entity Type | Individual
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Provider Name | THOMAS RYAN BETTS L.ACP.
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Gender | Male
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Dates
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Enumeration Date | 09/26/2012
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Last Update Date | 09/09/2025
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Provider Practice Location Address
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Address Line | 690 AMSTERDAM ST
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City | DETROIT
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State | MI
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Zip | 48202-3410
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Country | US
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Telephone | 313-972-4216
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FORD PL STE 3A
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City | DETROIT
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State | MI
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Zip | 48202-3450
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Country | US
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Telephone | 313-874-4805
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Fax | 313-876-1305
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 198.000823
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 5402000100
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License Number State | MI
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