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General NPI Number Information
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NPI Number | 1720889108
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Entity Type | Organization
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Legal Business Name | RYAN AND FAMILY LLC
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 625 COLLEGE ST
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City | JACKSONVILLE
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State | NC
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Zip | 28540-5310
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Country | US
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Telephone | 252-503-2978
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 872
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City | JACKSONVILLE
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State | NC
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Zip | 28541-0872
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Country | US
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Telephone | 910-333-0067
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Fax | 910-333-0128
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Authorized Official
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Title or Position | OWNER
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Name | RICHARD ARTHUR RYAN
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Credential |
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Telephone | 252-503-2978
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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