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General NPI Number Information
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NPI Number | 1407989981
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Entity Type | Individual
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Provider Name | JO ANN RYAN D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 458 PAMELA DR
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City | SAN ANTONIO
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State | TX
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Zip | 78223-1226
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Country | US
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Telephone | 830-249-8377
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Fax | 830-249-3974
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Provider Business Mailing Address
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Address Line | 116 JAMES ST
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City | BOERNE
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State | TX
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Zip | 78006-2302
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Country | US
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Telephone | 830-249-8377
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Fax | 830-249-3974
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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 | 2514
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License Number State | TX
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