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General NPI Number Information
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NPI Number | 1770868945
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Entity Type | Individual
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Provider Name | RYAN DAVID DICK D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1329 CHERRY WAY DR STE 500
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City | GAHANNA
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State | OH
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Zip | 43230-6782
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Country | US
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Telephone | 614-407-1225
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Fax | 614-522-6760
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Provider Business Mailing Address
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Address Line | 4081 PATHFIELD DR
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City | COLUMBUS
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State | OH
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Zip | 43230-6330
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Country | US
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Telephone | 14192056795
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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 | CH 10442
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4345
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License Number State | OH
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