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General NPI Number Information
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NPI Number | 1750949731
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Entity Type | Individual
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Provider Name | RYAN RODE MD
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Gender | Male
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 300 COLONIAL CENTER PKWY STE 100
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City | ROSWELL
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State | GA
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Zip | 30076-4892
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Country | US
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Telephone | 214-908-0571
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Fax |
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Provider Business Mailing Address
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Address Line | 430 ENGLEWOOD AVE SE APT 526
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City | ATLANTA
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State | GA
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Zip | 30315-2522
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Country | US
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Telephone | 214-908-0571
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 341079
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD89667
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 109869
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License Number State | GA
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