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General NPI Number Information
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NPI Number | 1730291469
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Entity Type | Organization
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Legal Business Name | RYAN M MCNETT OD LLC
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 07/14/2012
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Provider Practice Location Address
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Address Line | 2020 N NELSON DR SUITE A
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City | DERBY
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State | KS
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Zip | 67037-2572
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Country | US
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Telephone | 316-788-1180
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Fax | 316-788-7426
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Provider Business Mailing Address
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Address Line | 2020 N NELSON DR SUITE A
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City | DERBY
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State | KS
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Zip | 67037-2572
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Country | US
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Telephone | 316-788-1180
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Fax | 316-788-7426
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. RYAN MICHAEL MCNETT
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Credential | OD
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Telephone | 316-788-1180
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1748
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License Number State | KS
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