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General NPI Number Information
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NPI Number | 1366433245
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Entity Type | Individual
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Provider Name | RYAN TODD LLOYD D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/31/2005
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Last Update Date | 06/30/2021
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Provider Practice Location Address
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Address Line | 3100 LAKEVILLE HWY STE D
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City | PETALUMA
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State | CA
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Zip | 94954-6959
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Country | US
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Telephone | 707-337-0606
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Fax |
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Provider Business Mailing Address
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Address Line | 961 BROADWAY
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City | SONOMA
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State | CA
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Zip | 95476-7403
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Country | US
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Telephone | 707-337-0606
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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 | 28320
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License Number State | CA
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