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General NPI Number Information
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NPI Number | 1811229255
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Entity Type | Organization
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Legal Business Name | RYCORP
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Dates
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Enumeration Date | 02/10/2010
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Last Update Date | 02/10/2010
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Provider Practice Location Address
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Address Line | 4920 DENNY DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6205
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Country | US
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Telephone | 757-348-5197
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Fax | 757-337-2810
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Provider Business Mailing Address
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Address Line | 4920 DENNY DR
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-6205
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Country | US
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Telephone | 757-348-5197
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Fax | 757-337-2810
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN E LALA
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Credential |
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Telephone | 757-348-5197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 2705118606A
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License Number State | VA
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