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General NPI Number Information
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NPI Number | 1437895141
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Entity Type | Individual
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Provider Name | RYAN RICHARD CHRISTOPHER PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 05/06/2022
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Last Update Date | 05/06/2022
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Provider Practice Location Address
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Address Line | 9000 N MAIN ST
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City | ENGLEWOOD
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State | OH
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Zip | 45415-1180
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Country | US
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Telephone | 937-734-5954
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Fax |
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Provider Business Mailing Address
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Address Line | 281 GREEN VISTA DR
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City | ENON
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State | OH
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Zip | 45323-1662
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Country | US
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Telephone | 937-478-5371
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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