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General NPI Number Information
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NPI Number | 1487006474
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Entity Type | Organization
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Legal Business Name | RYAN HINMAN MD LLC
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Dates
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Enumeration Date | 07/01/2016
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Last Update Date | 07/01/2016
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Provider Practice Location Address
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Address Line | 3535 SOUTHERN BLVD
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City | KETTERING
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State | OH
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Zip | 45429-1221
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Country | US
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Telephone | 937-384-8797
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Fax |
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Provider Business Mailing Address
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Address Line | 3535 SOUTHERN BLVD
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City | KETTERING
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State | OH
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Zip | 45429-1221
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RYAN HINMAN
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Credential | MD
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Telephone | 937-384-8797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 35120819
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License Number State | OH
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