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General NPI Number Information
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NPI Number | 1518081801
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Entity Type | Individual
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Provider Name | CHRISTINE E RYAN L.M.T.
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Gender | Female
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 08/06/2007
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Provider Practice Location Address
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Address Line | 15043 MAIN ST C/O CHIRORPRACTIC ASSOCIATES OF ALACHUA
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City | ALACHUA
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State | FL
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Zip | 32615-3637
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Country | US
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Telephone | 352-318-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 6901 E UNIVERSITY AVE
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City | GAINESVILLE
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State | FL
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Zip | 32641-6038
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Country | US
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Telephone | 352-318-1000
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 45300
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License Number State | FL
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