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General NPI Number Information
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NPI Number | 1326133786
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Entity Type | Individual
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Provider Name | RYAN DENNIS BUELL DC
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 31095 BERGQUIST DRIVE
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City | PEQUOT LAKES
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State | MN
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Zip | 56472-0008
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Country | US
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Telephone | 218-568-7767
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Fax | 218-568-4580
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Provider Business Mailing Address
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Address Line | PO BOX 8
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City | PEQUOT LAKES
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State | MN
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Zip | 56472-0008
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Country | US
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Telephone | 218-568-7767
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Fax | 218-568-4580
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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 | 3271
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | AO5891
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License Number State | IA
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