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General NPI Number Information
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NPI Number | 1356345334
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Entity Type | Individual
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Provider Name | RYAN C WARD D.C.
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Gender | Male
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Dates
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Enumeration Date | 06/08/2005
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 108 PASADENA DR SUITE 100
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City | LEXINGTON
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State | KY
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Zip | 40503-2966
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Country | US
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Telephone | 859-494-1411
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Fax | 859-309-6102
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Provider Business Mailing Address
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Address Line | 3513 BIRKENHEAD CT
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City | LEXINGTON
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State | KY
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Zip | 40503-4204
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Country | US
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Telephone | 859-494-1411
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Fax | 859-309-6102
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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 | 4548
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License Number State | KY
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