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General NPI Number Information
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NPI Number | 1720647308
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Entity Type | Individual
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Provider Name | RYAN J VANLANDSCHOOT DC
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Gender | Male
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Dates
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Enumeration Date | 06/07/2019
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Last Update Date | 06/07/2019
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Provider Practice Location Address
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Address Line | 3425 UNIVERSITY PKWY UNIT 101
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City | SARASOTA
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State | FL
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Zip | 34243-4271
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Country | US
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Telephone | 941-500-3555
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Fax |
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Provider Business Mailing Address
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Address Line | 3425 UNIVERSITY PKWY UNIT 101
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City | SARASOTA
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State | FL
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Zip | 34243-4271
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Country | US
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Telephone | 941-500-3555
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH12686
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License Number State | FL
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