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General NPI Number Information
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NPI Number | 1316017239
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Entity Type | Individual
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Provider Name | MICHAEL RYAN KEARNS D.C.
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Gender | Male
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 07/21/2008
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Provider Practice Location Address
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Address Line | 2776 E. 146TH ST.
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City | CARMEIL
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State | IN
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Zip | 46033
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Country | US
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Telephone | 317-587-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 12420 BROOKS CROSSING
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City | FISHERS
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State | IN
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Zip | 46037-9546
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Country | US
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Telephone | 317-594-8881
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002305A
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License Number State | IN
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