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General NPI Number Information
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NPI Number | 1245490531
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Entity Type | Individual
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Provider Name | ROBERT CORY RYAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2008
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 7991 VANCE DR STE A
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City | ARVADA
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State | CO
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Zip | 80003-2148
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Country | US
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Telephone | 303-422-2990
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Fax | 303-425-4386
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Provider Business Mailing Address
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Address Line | 7991 VANCE DR STE A
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City | ARVADA
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State | CO
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Zip | 80003-2148
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Country | US
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Telephone | 303-422-2990
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Fax | 303-425-4386
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 00201797
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License Number State | CO
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