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General NPI Number Information
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NPI Number | 1558617340
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Entity Type | Individual
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Provider Name | RYAN K. STAPLES D.C.
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Gender | Male
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Dates
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Enumeration Date | 07/30/2012
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 4500 ELDORADO PKWY STE 1550
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City | MCKINNEY
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State | TX
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Zip | 75070-2509
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Country | US
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Telephone | 469-288-5440
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Fax | 469-253-5965
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Provider Business Mailing Address
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Address Line | 4500 ELDORADO PKWY STE 1550
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City | MCKINNEY
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State | TX
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Zip | 75070-2509
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Country | US
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Telephone | 469-288-5440
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Fax | 469-253-5695
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 12316
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License Number State | TX
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