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General NPI Number Information
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NPI Number | 1336947662
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Entity Type | Individual
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Provider Name | ALEKSANDER PETER RYBAR DC
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Gender | Male
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 10303 NE FOURTH PLAIN BLVD STE 105
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City | VANCOUVER
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State | WA
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Zip | 98662-5807
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Country | US
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Telephone | 503-432-1061
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Fax |
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Provider Business Mailing Address
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Address Line | 16516 SE MILL PLAIN BLVD APT 131
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City | VANCOUVER
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State | WA
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Zip | 98684-9605
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Country | US
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Telephone | 360-431-6327
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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 | 6438
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License Number State | OR
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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 | CH61641478
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License Number State | WA
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