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General NPI Number Information
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NPI Number | 1497188320
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Entity Type | Organization
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Legal Business Name | WILLIAM P. RYAN, DMD, LLC
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 08/14/2013
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Provider Practice Location Address
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Address Line | 10 HINSDALE AVE
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City | WINSTED
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State | CT
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Zip | 06098-1133
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Country | US
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Telephone | 860-379-4382
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Fax | 860-738-4720
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Provider Business Mailing Address
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Address Line | 10 HINSDALE AVE
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City | WINSTED
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State | CT
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Zip | 06098-1133
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Country | US
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Telephone | 860-379-4382
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Fax | 860-738-4720
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. WILLIAM P RYAN
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Credential | DMD
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Telephone | 860-379-4382
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 124Q00000X
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Taxonomy Name | Dental Hygienist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 126800000X
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Taxonomy Name | Dental Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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