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General NPI Number Information
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NPI Number | 1366082562
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Entity Type | Organization
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Legal Business Name | RYSE CHIROPRACTIC PLUS SPA LLC
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Dates
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Enumeration Date | 01/15/2020
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Last Update Date | 06/08/2021
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Provider Practice Location Address
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Address Line | 780 CLEAR LAKE CITY BLVD. BLDG. 1-A
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City | WEBSTER
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State | TX
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Zip | 77598
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Country | US
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Telephone | 281-406-0772
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Fax |
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Provider Business Mailing Address
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Address Line | 13714 LLANO LAKE CT
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City | HOUSTON
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State | TX
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Zip | 77059-3306
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RYAN SAVOIE
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Credential | DC
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Telephone | 337-660-5900
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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 |
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License Number State |
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