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General NPI Number Information
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NPI Number | 1710043641
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Entity Type | Organization
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Legal Business Name | DANIEL J RYAN MD PC
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1113 VILLA LINDE CT
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City | FLINT
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State | MI
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Zip | 48532-3410
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Country | US
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Telephone | 810-733-1214
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Fax | 810-733-3011
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Provider Business Mailing Address
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Address Line | 1113 VILLA LINDE CT
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City | FLINT
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State | MI
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Zip | 48532-3410
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Country | US
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Telephone | 810-733-1214
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Fax | 810-733-3011
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL J RYAN
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Credential | M.D.
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Telephone | 810-733-1214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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