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General NPI Number Information
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NPI Number | 1578415998
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Entity Type | Organization
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Legal Business Name | RYAN, JAMES, WILES, PATEL & OLSEN LLP
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 2980 RAY RD
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City | SPRING LAKE
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State | NC
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Zip | 28390-7801
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Country | US
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Telephone | 910-778-8485
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Fax |
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Provider Business Mailing Address
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Address Line | 2028 LITHO PL STE 300
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City | FAYETTEVILLE
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State | NC
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Zip | 28304-2538
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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 | DIRECTOR OF ACQUISITIONS
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Name | CHRISTINA C PATE
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Credential |
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Telephone | 910-484-7070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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