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General NPI Number Information
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NPI Number | 1467894519
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Entity Type | Individual
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Provider Name | CAREY A.E. RYAN R. AC.
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Gender | Female
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Dates
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Enumeration Date | 07/17/2013
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Last Update Date | 07/17/2013
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Provider Practice Location Address
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Address Line | 210 LITTLE LAKE DR SUITE 7
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City | ANN ARBOR
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State | MI
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Zip | 48103-6218
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Country | US
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Telephone | 734-846-4510
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Fax | 734-761-5928
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Provider Business Mailing Address
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Address Line | 210 LITTLE LAKE DR SUITE 7
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City | ANN ARBOR
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State | MI
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Zip | 48103-6218
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Country | US
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Telephone | 734-846-4510
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Fax | 734-761-5928
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 5401000044
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License Number State | MI
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