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General NPI Number Information
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NPI Number | 1407765019
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Entity Type | Individual
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Provider Name | CALEB RHYNARD
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Gender |
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/02/2026
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Provider Practice Location Address
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Address Line | 1031 BYERS RD
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City | MIAMISBURG
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State | OH
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Zip | 45342-5487
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Country | US
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Telephone | 989-330-4814
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Fax |
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Provider Business Mailing Address
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Address Line | 1354 SHEFFIELD DR
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City | BOWLING GREEN
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State | OH
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Zip | 43402-8969
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Country | US
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Telephone | 989-330-4814
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | CPO04903
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License Number State | ID
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