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General NPI Number Information
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NPI Number | 1477423218
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Entity Type | Organization
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Legal Business Name | RYAN OHL, DC, PA
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Dates
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Enumeration Date | 11/07/2025
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 5211 S FLETCHER AVE STE 250
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-5375
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Country | US
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Telephone | 419-296-7874
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Fax |
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Provider Business Mailing Address
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Address Line | 5211 S FLETCHER AVE STE 250
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City | FERNANDINA BEACH
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State | FL
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Zip | 32034-5375
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Country | US
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Telephone | 904-310-6437
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Fax | 904-263-5264
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Authorized Official
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Title or Position | OWNER
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Name | RYAN OHL
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Credential | DC
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Telephone | 419-296-7874
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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 |
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License Number State |
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