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General NPI Number Information
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NPI Number | 1306631015
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Entity Type | Individual
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Provider Name | DEBRA LYNN RYAN REGISTERED PHARMACIS
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Gender | Female
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Dates
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Enumeration Date | 04/12/2025
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Last Update Date | 04/12/2025
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Provider Practice Location Address
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Address Line | 10903 NEW HAMPSHIRE AVENUE BUILDING 22 ROOM 3430
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City | SILVER SPRING
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State | MD
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Zip | 20993-0002
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Country | US
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Telephone | 301-796-4225
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Fax |
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Provider Business Mailing Address
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Address Line | 4628 BUCKHORN RDG
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City | FAIRFAX
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State | VA
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Zip | 22030-6171
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Country | US
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Telephone | 571-426-6595
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 0202207384
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License Number State | VA
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